Provider Demographics
NPI:1811011075
Name:KARL S. STOLER, O.D. & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:KARL S. STOLER, O.D. & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:S
Authorized Official - Last Name:STOLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-974-3399
Mailing Address - Street 1:7850 MENTOR AVE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5520
Mailing Address - Country:US
Mailing Address - Phone:440-974-3399
Mailing Address - Fax:440-255-9799
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4316T161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ST0705621Medicare ID - Type Unspecified