Active NPI
Eric G Stocker, OD
- Optometrist
- Amherst, OH
National Provider Identifier
1881683589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3638T672
- Practice address
- 182 Park Ave
Amherst, OH 44001-2230 - Phone
- (440) 988-4419
- Fax
- (440) 988-8020
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3638T672 | OH | Primary |
Addresses
Primary practice location
182 Park Ave
Amherst, OH 44001-2230
Mailing address
182 Park Ave
Amherst, OH 44001-2230
Phone (440) 988-4419
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127104 | Other | ANTHEM BC/BS | |
| 410023295 | Other | RAILROAD MEDICARE | |
| 341096031029 | Other | OH | CARESOURCE |
| 0242340001 | Other | ADMINISTAR FEDERAL | |
| OH3638 | Other | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
182 Park Ave
Amherst, OH 44001-2230
Phone (440) 988-4419
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3638T672 | OH | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Amherst, OH
- NPI 1104815349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1881683589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 PARK AVE",
"city": "AMHERST",
"state": "OH",
"postal_code": "440012230",
"telephone_number": "440-988-4419",
"fax_number": "440-988-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 PARK AVE",
"city": "AMHERST",
"state": "OH",
"postal_code": "440012230",
"telephone_number": "440-988-4419",
"fax_number": "440-988-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKER",
"first_name": "ERIC",
"middle_name": "G",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3638T672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000127104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410023295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341096031029",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "0242340001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OH3638",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.