Don E Stoken, OD
Individual provider Active NPI Optometrist · Gardners, PA
NPI 1801928619 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1801928619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000782 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040921001040 | PA | Practitioner - Optometry | 4183692742 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000782 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac Visioncare,PC | Optometrist | Current |
Accepting new patients |
Locations
3375 Carlisle Rd
#C
Gardners, PA 17324
Phone (717) 677-4360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000782 | PA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010879030001 | Medicaid | PA |
Other providers in Gardners, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.