Sam M Stumer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0011439 Issued in DE

Practice address

18756 Coastal Hwy Unit 2
Rehoboth Beach, DE 19971-6155

Phone

(302) 645-4789

Fax

(844) 876-6925

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

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

State University of New York - State College Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Eye Care LLCGroup PAC ID 9133350846, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Envision Eye Care, LLC

  • Optometrist
  • Rehoboth Beach, DE
  • NPI 1336570811
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1881756476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18756 COASTAL HWY UNIT 2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716155",
            "telephone_number": "302-645-4789",
            "fax_number": "844-876-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18756 COASTAL HWY UNIT 2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716155",
            "telephone_number": "302-645-4789",
            "fax_number": "844-876-6925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1932 Great Falls St",
            "address_purpose": "LOCATION",
            "city": "McLean",
            "state": "VA",
            "postal_code": "221015420",
            "country_code": "US",
            "telephone_number": "703-237-4050",
            "fax_number": "703-237-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUMER",
        "first_name": "SAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA1451",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000301",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0011439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1932 Great Falls St",
            "city": "McLean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221015420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen Catherine Steele, LCSW
• Desiree Louise Steimel, DC
• Gretchen Stevens, RN
• Thelma Jean Stiegler, FNP
• Andrejs V Strauss, M.D.
• Sturges Dodge, LCSW, P.a.
• Kara Ann Sullivan, LPCMH
• Susan Lee Sullivan, RPH
• Sussex Medical Supplies
• Sussex Pulmonary and Endocrine Consultants, PA

• Optometrist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.