Active NPI
John E Stuckey, LDO
- Optician
- West Milton, OH
National Provider Identifier
1992255038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- S-6884
- Practice address
- 104 S Miami St
West Milton, OH 45383-1551 - Phone
- (937) 698-4456
- NPI assigned
- Oct 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S-6884 | OH | Primary |
Addresses
Primary practice location
104 S Miami St
West Milton, OH 45383-1551
Mailing address
104 S Miami St
West Milton, OH 45383-1551
Phone (937) 698-4456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-6884 | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1992255038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S MIAMI ST",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453831551",
"telephone_number": "937-698-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S MIAMI ST",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453831551",
"telephone_number": "937-698-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S-6884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Milton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.