Provider Demographics
NPI:1881756476
Name:STUMER, SAM M (OD)
Entity type:Individual
Prefix:DR
First Name:SAM
Middle Name:M
Last Name:STUMER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:18756 COASTAL HWY UNIT 2
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-6155
Mailing Address - Country:US
Mailing Address - Phone:302-645-4789
Mailing Address - Fax:844-876-6925
Practice Address - Street 1:18756 COASTAL HWY UNIT 2
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6155
Practice Address - Country:US
Practice Address - Phone:302-645-4789
Practice Address - Fax:844-876-6925
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDA1451152W00000X
VA0618000301152W00000X
DEI3-0011439152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist