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
- Last updated
- Jun 5, 2009
- 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
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 7
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.
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- Optometrist
- Wisconsin Rapids, WI
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Optometrist
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": [],
"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.