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EDWARD P STACK M.D. NPI 1801899885


NPI Information

NPI: 1801899885
Provider Name: EDWARD P STACK, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5300 GATEWAY CTR
FLINT, MI
ZIP 48507
Phone: (810) 720-9111
Get Directions

Edward P Stack, M.D. is an ophthalmology in Flint, MI with 33 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Edward P Stack, M.D. NPI is 1801899885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

5300 GATEWAY CTR
FLINT, MI
ZIP 48507-930
Phone: (810) 720-9111
Fax: (810) 720-9119

The NPI 1801899885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology4301065179MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115474OTHERMASSACHUSETTSSPECTERA
25100110OTHERMICHIGANAETNA
34774225MEDICAIDMICHIGAN
4C6993OTHERMICHIGANMCARE
56736673005OTHERMICHIGANCIGNA
6110201OTHERMICHIGANCARE CHOICES
71802511821OTHERMICHIGANBCBSM
84301065179OTHERMICHIGANSTATE LICENSE NUMBER
9000000010198OTHERMICHIGANCAPE MEDICAID
10028341OTHERMICHIGANMIDWEST HEALTH
114604520MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.