Active NPI
Ronald A Stello, OD
- Optometrist
- Covington, TN
National Provider Identifier
1740365212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000002574
- Practice address
- 201 Lanny Bridges Ave
Covington, TN 38019-1615 - Phone
- (901) 475-4288
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 616D | WV | |
| Optometrist | 152W00000X | OD0000002574 | TN | Primary |
Addresses
Primary practice location
201 Lanny Bridges Ave
Covington, TN 38019-1615
Mailing address
201 Lanny Bridges Ave
Covington, TN 38019-1615
Phone (901) 475-4288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000002574 | TN | MD | Optometrist |
| 616D | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paris Eye Care, LLC | Optometrist | Past | Accepting new patients |
| Eye Doc Inc | Optometrist | Past | Accepting new patients |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Optometrist
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- NPI 1356498828
-
- Optometrist
- Paris, TN
- NPI 1780626168
-
- Optometrist
- Nitro, WV
- NPI 1962455261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1740365212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LANNY BRIDGES AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380191615",
"telephone_number": "901-475-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LANNY BRIDGES AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380191615",
"telephone_number": "901-475-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLO",
"first_name": "RONALD",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "616D",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000002574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.