Paul B Stauder

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PAUL B STAUDER

Practice address

101 E Delaware St Ste C
Fairfield, IL 62837-2171

Phone

(618) 842-6516

Fax

(618) 842-6061

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Paul Stauder, OD

Title

Owner

Phone

(618) 842-6516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas A Brummer, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1275582900
  NPD
• Karishma Habbu, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1003341413
  NPD
• Michael Alan Morris, MD

  • Ophthalmology Physician
  • Marion, IL
  • NPI 1417119488
  NPD (past)
• Dwight Andrew Silvera, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1376553487
  NPD (past)
• Andrew Taylor Strand, D.O.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1295077402
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1902627979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628370506",
            "telephone_number": "618-842-6516",
            "fax_number": "618-842-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E DELAWARE ST STE C",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372171",
            "telephone_number": "618-842-6516",
            "fax_number": "618-842-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Greenlaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Flora",
            "state": "IL",
            "postal_code": "628391300",
            "country_code": "US",
            "telephone_number": "618-662-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAUL B STAUDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "STAUDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-842-6516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Musgrave, RN
• Pamela Sue Myers, RN
• New Hope CCSD No 6
• Myron I Oppenheimer, P.T.
• OT Playworks Inc.
• Penny Attaway (Medical Services Unlimited)
• Irina Podolsky
• Priscilla Poore
• Joan A Potter, CRNA
• Potts Family LLC (Potts Family Pharmacy)

• Optometrist in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.