NPIMap

Organization Active NPI

Wendell F. Stoelting OD PC

  • Optometrist
  • Cherokee, IA
National Provider Identifier
1821288457
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1569 Issued in IA
Legal business name
WENDELL F. STOELTING OD PC
Practice address
215 W Willow St
Cherokee, IA 51012-1856
Phone
(712) 225-3822
Fax
(712) 225-5395
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Wendell F. Stoelting, ODNPI 1497741201
Title
President
Phone
(712) 225-3822

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 1569 IA Primary

Addresses

Primary practice location

215 W Willow St
Cherokee, IA 51012-1856

Mailing address

215 W. Willow St
Cherokee, IA 51012-1856
Phone (712) 225-3822

Other identifiers 2

IdentifierTypeStateIssuer
0446377MedicaidIA
CI5976OtherRAILROAD MEDICARE

Other names 1

  • Dr. Wendell F. Stoelting Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000533 IA Part B Supplier - Clinic/Group Practice 1850383324 Receives reassigned benefits from 2 practitioners
Practice locations: Cherokee, IA
O20100930075537 IA DME Supplier - Physician - Optometrist 1850383324 Practice locations: Cherokee, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wendell Stoelting O.D., P.C.215 West Willow Street, Cherokee, IA 51012-1856(712) 225-3822 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

215 W Willow St
Cherokee, IA 51012
Phone (712) 225-3822

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1821288457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W. WILLOW ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121856",
            "telephone_number": "712-225-3822",
            "fax_number": "712-225-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W WILLOW ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121856",
            "telephone_number": "712-225-3822",
            "fax_number": "712-225-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDELL F. STOELTING OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "STOELTING",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-225-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446377",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI5976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Wendell F. Stoelting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cherokee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.