National Provider Identifier Database

SHAWN M STALDER, OPTICIAN – NPI #1063555282
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

SHAWN M STALDER, OPTICIAN
1020 MAIN ST
HAMILTON, OH45013
Phone: 513-896-7641
Fax: 513-896-7641
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SHAWN M STALDER

NPI Number 1063555282
Credentials OPTICIAN
Entity Individual
Enumeration date 02/15/2007
Last updated 05/12/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 52425
  • OH Medicaid: 2027265
  • OH Other: 925027 AMERIGROUP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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