MEDICARE: DR. WILLIAM A STUEVER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WL0500X	Low Vision Rehabilitation Optometrist	OK2144	OK
2	152WP0200X	Pediatric Optometrist	OK2144	OK
3	152WC0802X	Corneal and Contact Management Optometrist	OK2144	OK
4	152WS0006X	Sports Vision Optometrist	OK2144	OK
5	152WX0102X	Occupational Vision Optometrist	OK2144	OK
6	152W00000X	Optometrist	2144	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM A STUEVER O.D.

Provider Business Mailing Address
First Line	:	1619 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2703
Country	:	US
Telephone Number	:	580-762-5700
Fax Number	:	580-765-3022

Provider Business Practice Location Address
First Line	:	1619 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2703
Country	:	US
Telephone Number	:	580-762-5700
Fax Number	:	580-765-3022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/21/2025

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