Dan L Stadelman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01826 Issued in IA

Practice address

1718 E Kimberly Rd
Davenport, IA 52807-2097

Phone

(563) 355-3912

Fax

(563) 359-4108

NPI assigned

Jul 17, 2006

Last updated

Sep 7, 2021By 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 IA

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

Illinois College of Optometry at Chicago, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Eyehealth Associates PCGroup PAC ID 3779971676, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret A Phillips, O.D.

  • Optometrist
  • Davenport, IA
  • NPI 1700804093
  Medicare reassignment

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.

• Lifetime Eyehealth Associates PC

  • Optometrist
  • Davenport, IA
  • NPI 1053501585
  Medicare reassignment Care Compare group NPD Authorized official
• Palouse Foot & Ankle Clinic PS

  • Durable Medical Equipment & Medical Supplies
  • Pullman, WA
  • NPI 1922282540
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1770501801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072029",
            "telephone_number": "563-355-3912",
            "fax_number": "563-359-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072097",
            "telephone_number": "563-355-3912",
            "fax_number": "563-359-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELMAN",
        "first_name": "DAN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Park Oral and Maxillofacial Surgeons, P.C.
• Spring Park Surgery Center L L C
• Shelaina J Springfield, RN
• Brett A Spruce, D.C.
• St. Mary Healthcare and Rehabilitation Center, LLC (St. Mary Healthcare and Rehabilitation Center)
• Stage Coach Medical Transport, LLC
• Caitlyn Stakeley
• Thomas Robert Staley, MD
• Taylor Renee Stamm
• Joseph Tabb Standard, MD

• Optometrist in Davenport, IA
• Providers in Davenport, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.