J DOUGLAS STAHL O.D. NPI 1659320117

Optometrist in Lake Oswego, OR

NPI 1659320117 Individual Male Optometrist

About J STAHL

J Stahl is a provider established in Lake Oswego, Oregon and his medical specialization is optometrist. The NPI number of J Stahl is 1659320117 and was assigned on May 2006. The practitioner's primary taxonomy code is 152W00000X with license number 1088T (OR). The provider is registered as an individual and his NPI record was last updated 13 years ago.

J Stahl is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1659320117

Provider Name J DOUGLAS STAHL O.D.
Provider Location Address320 A AVE LAKE OSWEGO, OR 97034
Provider Mailing Address320 A AVE LAKE OSWEGO, OR 97034
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-10-2006
Last Update Date06-29-2009


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1088T
License StateOR
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

J DOUGLAS STAHL O.D.
320 A AVE
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-2762
Fax: (503) 636-4502

Get Directions


Mailing Address

J DOUGLAS STAHL O.D.
320 A AVE
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-2762
Fax: (503) 636-4502



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5204610001MEDICARE NSC (07)
164525MEDICAID (05)OR
OOOOPHFTXMEDICARE UPIN (02)

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902803984DR. JEFFREY B VANORMAN DMD
Individual
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1255339669DR. LYNN J STRAND D.M.D.
Individual
Dentist (Endodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1003015496DR. KENNETH BYRON WILTBANK D.M.D.
Individual
Dentist320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1366793192OREGON ENDODONTIC GROUP
Organization
Dentist (Endodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1407897200DR JEFFREY B VAN ORMAN
Organization
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1629095526ROBERT H. WOOLF, DDS, PC
Organization
Dentist (Periodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 635-3584

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.