Active NPI
David M. Stella, OD, PA
- Optometrist
- Jacksonville, NC
National Provider Identifier
1952571614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1531
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.