Michael Lee Stark in Sidney - Ophthalmology

Michael Lee Stark - NPI 1679579577

Michael Lee Stark is a Ophthalmology in Sidney, Ohio. Michael Lee Stark practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Michael Lee Stark is 1679579577. The last update date is 2020-09-16.

Michael Lee Stark's current location address is 1118 Fairington Dr, Sidney, Ohio. You can contact this provider via phone number 9374923755 and fax number 9374921132. The mailing address for Michael Lee Stark is 1118 Fairington Dr, Sidney, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Lee Stark
Address 1118 Fairington Dr, Sidney, Ohio
Phone Number 9374923755
Fax Number 9374921132
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1679579577
Provider Enumeration Date 2005-06-24
Last Updated Date 2020-09-16

Provider Mailing Address Detail

Address 1118 Fairington Dr
City Sidney
State Ohio (OH)
Post Code 4536589130
Phone Number 9374923755
Fax Number 9374921132

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 3380
Definition:
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 incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
533462 OH --

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FAQs about Michael Lee Stark

What is the unique identifier code issued to Michael Lee Stark by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Lee Stark has been assigned the NPI (National Provider Identifier) 1679579577. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Michael Lee Stark?

The Michael Lee Stark is situated at 1118 Fairington Dr, in the city of Sidney, state of OH, with the zip code 4536589130.

What is the area of specialization for Michael Lee Stark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael Lee Stark is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.

On what date was the 1679579577 assigned to Michael Lee Stark?

The Michael Lee Stark was issued its 1679579577 on 2005-06-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Michael Lee Stark most recently updated or revised?

The details related to Michael Lee Stark, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-16.

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