Luke Stillwell Optometrist, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001858 Issued in VA

Legal business name

LUKE STILLWELL OPTOMETRIST, P.C.

Practice address

1050 Regional Park Rd
Lebanon, VA 24266-3712

Phone

(276) 889-5828

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Luke Stillwell, O.D.NPI 1447488796

Title

Owner

Phone

(276) 880-1277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Luke Stillwell, O.D.

  • Optometrist
  • Cedar Bluff, VA
  • NPI 1447488796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1750696597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246370911",
            "telephone_number": "276-880-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REGIONAL PARK RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663712",
            "telephone_number": "276-889-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE STILLWELL OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-880-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Lester
• Karl C Lewis
• LGN Weight Loss, LLC (LGN Weight Loss)
• Life Recovery LLC
• Judith Easterly Lockridge, RPT
• Abbigael Martin McCoy, MS, CCC-SLP
• Kelsey Wise McCoy, PA
• Kelly McDaniel, NP-C
• Rodney Hugh McMurray, LCSW
• Medical Rentals and Supplies Inc of Oakwood

• Optometrist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.