DAN L STADELMAN (NPI# 1770501801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770501801 |
| Entity Type | Individual |
| Full Name | DAN L STADELMAN |
| Credential | O.D. |
| Practice Address |
1718 E Kimberly Rd Davenport IA 52807-2029 |
| Practice Telephone | 5633553912 |
| Practice Fax Number | 5633594108 |
| Mailing Telephone | 5633553912 |
| Mailing Fax Number | 5633594108 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 01826 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0224626 | 05 | |
| IA | BC/BS OF IA | 22462 | 01 |
| Street Address |
1718 E KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804093 | Margaret A Phillips | Optometrist | 1718 E Kimberly Rd, Davenport, IA 52807-2029 | 2006-07-17 |
| 1053501585 | Dan L Stadelman Od | Optometrist | 1718 E Kimberly Rd, Davenport, IA 52807-2029 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1801441381 | National Vision Inc | Optometrist | 1169 Posner Blvd, Davenport, FL 33837-3664 | 2019-08-02 |
| 1386112019 | Daniel & Max, LLC | Optometrist | 3901 N Brady St, Davenport, IA 52806-4052 | 2018-11-12 |
| 1598245193 | Eye Doctors Optical Outlets, Pa | Optometrist | 2600 Posner Blvd, Davenport, FL 33837-3638 | 2018-08-14 |
| 1902244387 | Murphy Quality Eye Care PC | Optometrist | 4756 Elmore Ave, Davenport, IA 52807 | 2013-06-07 |
| 1245561893 | Veinte 20 Vision Center & Optical, P.a | Optometrist | 101 Divine Dr, Suite 1, Davenport, FL 33897-9571 | 2010-01-21 |
| 1952539496 | Swati B. Patel | Optometrist | 1519 Lexington Ave, Davenport, FL 33837-1706 | 2009-06-23 |
| 1447323811 | Davenport Vision Clinic, Inc. | Optometrist | 506 8th St, Davenport, WA 99122 | 2006-11-15 |
| 1912927518 | Stacie R. Nichols | Optometrist | 506 8th St., Davenport, WA 99122 | 2006-07-19 |
| 1700804093 | Margaret A Phillips | Optometrist | 1718 E Kimberly Rd, Davenport, IA 52807-2029 | 2006-07-17 |
| 1780640391 | Randall Richard Johnson | Optometrist | 102 E Kimberly Rd, Davenport, IA 52806-5922 | 2006-04-22 |
| Find all providers in DAVENPORT | ||||
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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.