Elliott Stupp

O.D. | Optometrist | 26+ years Exp


  
4171 S Tamiami Tr, #34, Venice
Florida, 34293-2932

 941-223-6381   Maps & Directions
Elliott Stupp is a Venice, Florida based male Optometrist with 26 years of experience in Optometry. He completed his graduation from Other in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Elliott Stupp is OPC 3404 for Optometry in Florida.
Elliott Stupp examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Elliott Stupp speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 26+ years
Medical School Attended:Other
Graduation Year:1998
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:4171 S Tamiami Tr, #34, Venice,
Florida, 34293-2932
Phone:941-223-6381
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6507816634
Enrollment ID: I20050126001084
NPI Number: 1932131331
NPI Enumeration Date: 07 Jul, 2006
NPI Last Update On: 24 Nov, 2008

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elliott Stupp are as mentioned below.
License NumberSpecializationStateStatus
OPC 3404Optometry FloridaPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Elliott Stupp has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Eye Doctors Optical Outlets Pa (0042123846)90
Other Medical Identifiers:
Other legacy medical identifiers associated with Elliott Stupp such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
621028700MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 6248 Weymouth Dr,
Sarasota, Florida
Zip: 34238-2763
Phone Number: 941-889-6381
Fax Number: --
Patients can reach Elliott Stupp at 4171 S Tamiami Tr, #34, Venice, Florida or can call to book an appointment on 941-223-6381. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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