Warren J Stoltman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2931 Issued in MN

Practice address

103 Center Dr
Suite 100
Buffalo, MN 55313-2957

Phone

(763) 682-1282

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  Medicare reassignment Care Compare group NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD
• Elk River Eye Clinic, P.a.

  • Optometrist
  • Elk River, MN
  • NPI 1063457943
  NPD (past)
• MSS

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, MN
  • NPI 1952599144
  NPD (past)
• LTC Eyecare Inc

  • Optometrist
  • Georgetown, SC
  • NPI 1225084676
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1811939838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTER DR",
            "address_2": "SUITE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132957",
            "telephone_number": "763-682-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTER DR",
            "address_2": "SUITE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132957",
            "telephone_number": "763-682-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTMAN",
        "first_name": "WARREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Spier, DDS
• Taylor Spier
• Jessica Lee Stageberg, N.P.
• John Charles Stangl, DDS
• Stellis Health, PA (Buffalo Clinic, Monticello Clinic, Albertville/St.Michael Clinic,)
• Christopher Rodes Stone, PT
• Strive Therapy Services Inc.
• Summit Orthopedics, LTD.
• Zackary Stephen Sundly, PA-C
• Supervalu Pharmacies Inc (Cub Pharmacy)

• Optometrist in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.