Active NPI
Stephen C Sternitzky, O.D.
- Optometrist
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2207-035
- Practice address
- 1220 Parkwood Drive
Wisconsin Rapids, WI 54494-5488 - Phone
- (715) 421-2111
- Fax
- (715) 421-2123
- NPI assigned
- Nov 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2207-035 | WI | Primary |
Addresses
Primary practice location
1220 Parkwood Drive
Wisconsin Rapids, WI 54494-5488
Mailing address
1220 Parkwood Drive
Wisconsin Rapids, WI 54494-5488
Phone (715) 421-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38576000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207-035 | WI | MD | Optometrist |
| 2207 | WI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
Locations
1004 18th Ave NW
Ste D
Austin, MN 55912
Phone (507) 437-8228
2220 Badger Dr
Hudson, WI 54016
Phone (715) 954-6063
101 Oak Ave
Ste 2
Menomonie, WI 54751
Phone (715) 953-3731
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
1100 E Riverview Expy
Wisconsin Rapids, WI 54494
Phone (715) 421-1750
Organizations & group practices 6
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1790768968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 PARKWOOD DRIVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544945488",
"telephone_number": "715-421-2111",
"fax_number": "715-421-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 PARKWOOD DRIVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544945488",
"telephone_number": "715-421-2111",
"fax_number": "715-421-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNITZKY",
"first_name": "STEPHEN",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2207-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38576000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.