Individual provider Active NPI

Mike Stuntz, M.D.

  • Ophthalmology Physician
  • Lutz, FL
National Provider Identifier
1962817189
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME143814 Issued in FL
Practice address
25232 St Road 54
Lutz, FL 33559-6244
Phone
(813) 953-1170
Fax
(813) 953-1061
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME143814 FL Primary

Addresses

Primary practice location

25232 St Road 54
Lutz, FL 33559-6244

Mailing address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 938-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203001512 FL Practitioner - Ophthalmology 4486965894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

25232 State Rd
54 Suite 1
Lutz, FL 33559-6244
Phone (727) 943-3111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143814FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newsom Eye & Laser Center Inc Ophthalmology CurrentSince Feb 15, 2021 Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Newsom Eye & Laser Center, Inc. Ophthalmology CurrentSince Feb 15, 2021 Accepting new patients
Physicians Clinic Inc Internal Medicine Past Accepting new patients

Locations

25232 State Road 54
Ste 1
Lutz, FL 33559
Phone (727) 943-3111

25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722

13904 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 908-2020

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

Interoperability endpoints

  • Direct secure messaging: mike.stuntz.p1@direct.stlukeseye.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1962817189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-938-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25232 ST ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596244",
            "telephone_number": "813-953-1170",
            "fax_number": "813-953-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUNTZ",
        "first_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME143814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.