DR. CHARLES DOUGLAS STINE (NPI# 1740267129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740267129 |
| Entity Type | Individual |
| Full Name | DR. CHARLES DOUGLAS STINE |
| Credential | OD |
| Practice Address |
4009 Community Center Dr Weston WI 54476-4139 |
| Practice Telephone | 7152412020 |
| Practice Fax Number | 7152419827 |
| Mailing Telephone | 7152412020 |
| Mailing Fax Number | 7152419827 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2016-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1909035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38521100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886821 | Charles W Stine | Optometrist | # 4 Pendleton St, Middleburg, VA 20117-0000 | 2006-01-24 |
| Street Address |
4009 COMMUNITY CENTER DR |
| City | WESTON |
| State | WI |
| Zip Code | 54476-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760794697 | Lawrence E Addison | Optometrist | 4009 Community Center Dr, Weston, WI 54476-4139 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1558710228 | Shannon Joseph | Optometrist | 825 Crestview Cir, Weston, FL 33327-1847 | 2016-06-03 |
| 1548493935 | Julie Abraham | Optometrist | 2863 Executive Park Dr., Suite 103, Weston, FL 33331 | 2009-09-01 |
| 1548470297 | Jesus Cuevas | Optometrist | 1608 Town Center Boulevard, Suite C, Weston, FL 33327 | 2007-05-23 |
| 1003943242 | Jennifer Elaine Lage | Optometrist | 1608 Town Center Cir Ste C, Weston, FL 33326-3639 | 2007-02-27 |
| 1396896890 | Monica Ginsberg | Optometrist | 2523 Monterey Ct, Weston, FL 33327-1509 | 2007-01-13 |
| 1063578169 | Gregory Ray Brannon | Optometrist | 165 Main Ave, Weston, WV 26452-1944 | 2006-12-31 |
| 1043383755 | Stine Eye Center, LLC | Optometrist | 4009 Community Center Drive, #100, Weston, WI 54476 | 2006-11-17 |
| 1528019775 | Maryam Fattahy | Optometrist | 407 Boston Post Rd, Weston, MA 02493-1552 | 2006-05-12 |
| 1447208780 | David Shepard Forrest | Optometrist | 2616 Oakbrook Ct, Weston, FL 33332-3440 | 2006-05-05 |
| Find all providers in WESTON | ||||
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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.