NPI 1649255043

James Stefan Stickel, ODMS

Practitioner Optometrist Goshen, IN

Practice location

Address: 1722 Bashor Rd, Goshen, IN 46526-1302
Phone: (574) 533-4141
Fax: (574) 534-2278

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003277A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1649255043
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2005
Record last updated: 9 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.