SETH STACK (NPI# 1558902171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558902171 |
| Entity Type | Individual |
| Full Name | SETH STACK |
| Practice Address |
845 State Route 17m Monroe NY 10950-1606 |
| Mailing Address |
1 Hatfield Ln Ste 3 Goshen NY 10924-6753 |
| Practice Telephone | 8452945128 |
| Practice Fax Number | 8452941479 |
| Mailing Telephone | 8452945128 |
| Mailing Fax Number | 8452941479 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Hatfield Ln Ste 3, Goshen, NY 109246753 | 8452945128 | 8452941479 |
| Street Address |
845 STATE ROUTE 17M |
| City | MONROE |
| State | NY |
| Zip Code | 10950-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255494811 | Mitchell Joseph Korn | Physical Therapist | 845 State Route 17m, Monroe, NY 10950-1606 | 2006-12-18 |
| 1386119493 | Lauren Van Pamelen | Technician/Technologist | 845 State Route 17m, Monroe, NY 10950-1606 | 2018-10-04 |
| 1689900037 | Monroe Physical Therapy091 | Clinic/Center | 845 State Route 17m, Monroe, NY 10950-1606 | 2009-10-20 |
| 1033354642 | Mindy A Podos-bader | Dentist | 845 State Route 17m, Suite 201, Monroe, NY 10950-1606 | 2008-12-10 |
| 1871738732 | Douglas Robert Lipman | Dentist | 845 State Route 17m, Suite 201, Monroe, NY 10950-1606 | 2008-12-07 |
| 1871702159 | Simply Dental of Monroe, Pllc | Dentist | 845 State Route 17m, Suite 201, Monroe, NY 10950-1606 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1508184359 | Moishe Hoffman | Technician/Technologist | 51 Forest Rd Suite 308, Monroe, NY 10950 | 2010-05-04 |
| 1053634840 | America's Best Contact & Eyeglasses | Technician/Technologist | 2215 N Telegraph Rd, Monroe, MI 48162-8941 | 2010-03-08 |
| 1033440359 | Eye Center Inc. | Technician/Technologist | 51 Forest Rd Ste 308, Monroe, NY 10950-2940 | 2010-01-26 |
| 1447237086 | Norman A Nicholas | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2005-12-26 |
| 1386119493 | Lauren Van Pamelen | Technician/Technologist | 845 State Route 17m, Monroe, NY 10950-1606 | 2018-10-04 |
| 1841706132 | Joseph Farkas | Technician/Technologist | 288 Larkin Dr, Walmart Vision Center, Monroe, NY 10950 | 2017-12-21 |
| 1699050302 | Sams East Inc | Technician/Technologist | 5400 Frontage Rd, Monroe, LA 71202-4040 | 2011-10-13 |
| 1518187566 | Paul Howard Utnick | Technician/Technologist | 475 State Route 17m, Plaza Optical, Monroe, NY 10950-4169 | 2007-05-01 |
| 1578618690 | Monroe Optical, Inc. | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2007-01-25 |
| Find all providers in MONROE | ||||
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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.