DR. SAMUEL STACK (NPI# 1114542149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542149 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL STACK |
| Credential | OD |
| Practice Address |
135 E 38th St Erie PA 16504-1559 |
| Mailing Address |
323 Forest Dr Erie PA 16505-1816 |
| Practice Telephone | 8148602789 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG003662 | PA | Eye and Vision Services Providers |
| Street Address |
135 E 38TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16504-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958750 | Michael David Adelman | Internal Medicine | 135 E 38th St, Erie, PA 16504-1559 | 2005-11-04 |
| 1184236762 | Cassandra Jane Mozes | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2020-08-17 |
| 1659997070 | Laura Karle | Optometrist | 135 E 38th St, Erie, PA 16504-1559 | 2020-06-22 |
| 1700433505 | Nhu Y Le | Optometrist | 135 E 38th St, Erie, PA 16504-1559 | 2019-08-26 |
| 1558916551 | Corina Michelle Montgomery | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2019-08-06 |
| 1962054288 | Alyssa Romaine | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2019-07-16 |
| 1154973485 | Elizabeth Amarette Towns | Nurse Practitioner | 135 E 38th St, Erie, PA 16504-1559 | 2019-07-16 |
| 1992367999 | Jane Kaveney | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2019-07-01 |
| 1457919052 | Emily Walsh | Optometrist | 135 E 38th St, Erie, PA 16504-1559 | 2019-05-30 |
| 1932676186 | Danielle Distefano | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187638 | Stephanie Jo Hohos-mahoney | Speech-Language Pathologist | 135 East 38 Street, Erie, PA 16504 | 2013-03-12 |
| 1154541225 | Bonni Burke | Dental Hygienist | 135 East 38th St., Erie, PA 16504 | 2007-04-30 |
| 1881775278 | Sarah T Goebel | Social Worker | Erie Dept. of Veteran Affairs Medical Center, 135 East 38th St., Erie, PA 16504 | 2006-10-18 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1285647917 | Michele L Harrington | Audiologist | 135 E 38th St., Erie, PA 16504 | 2006-08-14 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
| 1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
| 1992748081 | Paula Christine Bauda | Nurse Practitioner | 135 East 38th Street, Erie, PA 16504 | 2006-06-14 |
| 1487605267 | Kimberly Ann Thompson | Internal Medicine | 213 East 41st St, Erie, PA 16504 | 2006-05-15 |
| 1053701508 | Bomber Ferraro II | Counselor | 135 East 38th St, Erie, PA 16504 | 2015-02-04 |
| Find all providers in zip 16504 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1427521665 | Landa Vision, Inc. | Optometrist | 5158 Peach St Unit 20b, Erie, PA 16509-2489 | 2019-01-10 |
| 1568898690 | West Penn Advance Vision Care & Optical LLC | Optometrist | 2576 W 8th St, Erie, PA 16505-4416 | 2013-09-20 |
| 1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
| 1215168877 | Jessica Marie Goller | Optometrist | 3279 West 26th St, Erie, PA 16506 | 2009-07-30 |
| 1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
| 1154505063 | Visual Fx Vision Centers, LLC | Optometrist | 7000 Peach Street, Erie, PA 16509 | 2007-12-27 |
| 1912042466 | Douglas W Kennedy | Optometrist | 615 Mitchell Way Ste 103, Erie, CO 80516-5438 | 2007-02-21 |
| 1790843977 | Jill Diane Cuthbertson | Optometrist | 1344 W 38th St, Erie, PA 16508-2462 | 2006-12-04 |
| 1427126267 | Visioncare Laser Centers of Erie | Optometrist | 1909 West 8th Street, Erie, PA 16505-4936 | 2006-12-01 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.