Organization Active NPI

David M. Stella, OD, PA

  • Optometrist
  • Jacksonville, NC
National Provider Identifier
1952571614
Registry record updated Mar 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1531 Issued in NC
Legal business name
DAVID M. STELLA, OD, PA
Practice address
2025 N Marine Blvd
Jacksonville, NC 28546-6920
Phone
(910) 937-1297
NPI assigned
Mar 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2008

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

Authorized official

Name
Dr. David Michael Stella, O.D.
Title
President
Phone
(919) 426-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1531 NC Primary

Addresses

Primary practice location

2025 N Marine Blvd
Jacksonville, NC 28546-6920

Mailing address

2625 Mica Mine LN
Wake Forest, NC 27587-6666
Phone (919) 426-6613

National Provider Directory

National Provider Directory

Locations

2025 N Marine Blvd
Jacksonville, NC 28546
Phone (910) 455-5546

NPI Registry JSON

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

{
    "created_epoch": "1205020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205020800000",
    "number": "1952571614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 MICA MINE LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876666",
            "telephone_number": "919-426-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N MARINE BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466920",
            "telephone_number": "910-937-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. STELLA, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-09",
        "last_updated": "2008-03-09",
        "status": "A",
        "authorized_official_last_name": "STELLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-426-6613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.