Organization Active NPI

Stahl Vision Inc

  • Ophthalmology Physician
  • Beavercreek, OH
National Provider Identifier
1952354136
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STAHL VISION INC
Practice address
4235 Indian Ripple Rd
Ste 100
Beavercreek, OH 45440-3247
Phone
(937) 427-2020
Fax
(937) 429-1166
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Brian Ray Stahl, M.D.NPI 1942202700
Title
Owner
Phone
(937) 427-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4235 Indian Ripple Rd
Ste 100
Beavercreek, OH 45440-3247

Mailing address

4235 Indian Ripple Rd
Ste 100
Beavercreek, OH 45440-3247
Phone (937) 427-2020

Other identifiers 1

IdentifierTypeStateIssuer
2150185MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000001 OH Part B Supplier - Clinic/Group Practice 3476458167 Receives reassigned benefits from 6 practitioners
Practice locations: Beavercreek, OH

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2082280Stahl Vision4235 Indian Ripple Rd Ste 100, Dayton, OH 45440Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

4235 Indian Ripple Rd
Ste 100
Dayton, OH 45440
Phone (937) 427-2020

3080 Ackerman Blvd
Ste 105
Kettering, OH 45429
Phone (937) 228-0789

564 N Main St
Unit A
Springboro, OH 45066
Phone (937) 427-2020

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1952354136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403247",
            "telephone_number": "937-427-2020",
            "fax_number": "937-429-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403247",
            "telephone_number": "937-427-2020",
            "fax_number": "937-429-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAHL VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-427-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150185",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.