Provider Demographics
NPI:1689711814
Name:STOLER, KARL STEVEN (OD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:STEVEN
Last Name:STOLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6741 AYLESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3895
Mailing Address - Country:US
Mailing Address - Phone:440-519-1707
Mailing Address - Fax:
Practice Address - Street 1:7850 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5520
Practice Address - Country:US
Practice Address - Phone:440-974-3399
Practice Address - Fax:440-255-9799
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4316T161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU26685Medicare UPIN
ST0705621Medicare ID - Type Unspecified