Organization Active NPI

Karl S. Stoler, O.D. & Associates, Inc.

  • Optometrist
  • Mentor, OH
National Provider Identifier
1811011075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4316T161 Issued in OH
Legal business name
KARL S. STOLER, O.D. & ASSOCIATES, INC.
Practice address
7850 Mentor Ave
Mentor, OH 44060-5520
Phone
(440) 974-3399
Fax
(440) 255-9799
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karl S Stoler, O.D.NPI 1689711814
Title
President
Phone
(440) 974-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4316T161 OH Primary

Addresses

Primary practice location

7850 Mentor Ave
Mentor, OH 44060-5520

Mailing address

7850 Mentor Ave
Mentor, OH 44060-5520
Phone (440) 974-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000304 OH Part B Supplier - Clinic/Group Practice 0547340986 Receives reassigned benefits from 4 practitioners
Practice locations: Mentor, OH

National Provider Directory

National Provider Directory

Locations

7850 Mentor Ave
Mentor, OH 44060
Phone (440) 255-6285

7850 Mentor Ave
Ste 566
Mentor on Lk, OH 44060
Phone (440) 974-3399

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811011075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605520",
            "telephone_number": "440-974-3399",
            "fax_number": "440-255-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605520",
            "telephone_number": "440-974-3399",
            "fax_number": "440-255-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL S. STOLER, O.D. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-974-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4316T161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.