Individual provider Active NPI

Don E Stoken, OD

  • Optometrist
  • Gardners, PA
National Provider Identifier
1801928619
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000782 Issued in PA
Practice address
3375 Carlisle Rd Ste C
Gardners, PA 17324-9603
Phone
(717) 677-9141
Fax
(717) 677-4360
NPI assigned
Mar 9, 2007
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000782 PA Primary

Addresses

Primary practice location

3375 Carlisle Rd Ste C
Gardners, PA 17324-9603

Mailing address

3375 Carlisle Rd Ste C
Gardners, PA 17324-9603
Phone (717) 677-9141

Other identifiers 1

IdentifierTypeStateIssuer
1010879030001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040921001040 PA Practitioner - Optometry 4183692742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3375 Carlisle Rd
Suite C
Gardners, PA 17324-9603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ac Visioncare,PC Optometrist CurrentSince Jul 1, 2004 Accepting new patients

Locations

3375 Carlisle Rd
#C
Gardners, PA 17324
Phone (717) 677-4360

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1801928619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 CARLISLE RD STE C",
            "city": "GARDNERS",
            "state": "PA",
            "postal_code": "173249603",
            "telephone_number": "717-677-9141",
            "fax_number": "717-677-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 CARLISLE RD STE C",
            "city": "GARDNERS",
            "state": "PA",
            "postal_code": "173249603",
            "telephone_number": "717-677-9141",
            "fax_number": "717-677-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKEN",
        "first_name": "DON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010879030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardners, PA

Sources for this page

Verify at the official NPI Registry.