John Stehulak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5751 Issued in OH

Practice address

474 Airport Hwy
Wauseon, OH 43567-9791

Phone

(419) 337-6371

NPI assigned

Jul 20, 2007

Last updated

Sep 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wauseon Eye Care LLCGroup PAC ID 9830409622, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wauseon Eye Care, LLC

  dba Wauseon Eye Care

  • Optometrist
  • Wauseon, OH
  • NPI 1538536982
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1740480524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435670302",
            "telephone_number": "419-337-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 AIRPORT HWY",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435679791",
            "telephone_number": "419-337-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHULAK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Marie Snyder, ABOC, LDO
• Stephanie Sostakowski, PHARMD
• Christopher Joseph Spieles, M.D.
• Bonnie Spiess
• Jamie Spiess
• Brenda K Stickley
• Emily Stockham
• Crissi L Stuckey, PT
• Alicia Sumner
• Sunshine Inc. Residential and Support Services

• Optometrist in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.