Brent Stoliker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT986 Issued in ME

Practice address

29 Meadow LN
Fort Kent, ME 04743-1203

Phone

(207) 834-3333

Fax

(207) 834-6095

NPI assigned

Jun 14, 2017

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 ME

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

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brent.stoliker.1@10077.direct.athenahealth.com

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.

• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Fort Kent, ME
  • NPI 1174741094
  Medicare reassignment Care Compare group NPD
• Valley Eye Care Associates, P.a.

  • Optometrist
  • Fort Kent, ME
  • NPI 1801139084
  Medicare reassignment NPD
• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Van Buren, ME
  • NPI 1528608437
  NPD
• Timothy D Rioux

  • Optometrist
  • Fort Kent, ME
  • NPI 1770769473
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821528605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MEADOW LN",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431203",
            "telephone_number": "207-834-3333",
            "fax_number": "207-834-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MEADOW LN",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431203",
            "telephone_number": "207-834-3333",
            "fax_number": "207-834-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLIKER",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Sirois, LADC
• Christie Skinner Freeman
• Sherry Marie Stedt, LMT
• Jubal S Stewart, DDS
• Amelia Stoliker
• Tyler James Stoliker, FNP-C
• Andrea Sulavik, ATC
• Christina Rose Theriault, NP
• Nicole Marie Theriault, RN CARE MANAGER
• Lynn A. Thibeault-Lajoie

• Optometrist in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.