Eric J Stoltz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1908DT Issued in KY

Practice address

1195 Barrett Blvd
Henderson, KY 42420-7508

Phone

(270) 844-8090

Fax

(270) 831-8676

NPI assigned

Jul 31, 2012

Last updated

Jul 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KY, IN2 enrollments

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 2

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perfect Focus Eyecare PLCGroup PAC ID 7214321793, 2 clinicians

Christopher W Brackett OD LLCGroup PAC ID 1850702713, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Perfect Focus Eyecare, PLC

  dba Perfect Focus Eyecare

  • Optometrist
  • Henderson, KY
  • NPI 1902495328
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher W Brackett OD LLC

  • Optometrist
  • Evansville, IN
  • NPI 1598363624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1750637435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 BARRETT BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207508",
            "telephone_number": "270-844-8090",
            "fax_number": "270-831-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BARRETT BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207508",
            "telephone_number": "270-844-8090",
            "fax_number": "270-831-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZ",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1908DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Stearns, M.D.
• Skylynn Steward
• Gordon Stinnett
• Stinson Chiropractic LLC
• Meric-Dean Charles Stinson, DC
• Lesa Sue Sutton-Davis, M.D.
• Mark Allen Sutton, ABO,NCLE,LDO
• Tammy Sutton, LCSW
• T & T Drug :Stores Inc
• T & T Drugs (T & T Drug Clinical Services)

• Optometrist in Henderson, KY
• Providers in Henderson, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.