Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770758252 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Stimmer , OD

Optometrist • Bronx, NY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Stimmer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2008
NPI Deactivation Date July 17, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Stimmer, OD was a registered Optometrist practicing in Bronx, NY. Throughout an active medical career spanning 17 years, Dr. Stimmer provided care at the practice location at 390 E FORDHAM RD until profile deactivation on 2025-07-17.

Practice Location & Contact Primary Location

Practice Address

390 E Fordham Rd

Bronx, NY 104585005

Telephone 7182206060
Associated Practice Facility / Clinic
🏢 Eyecare Advantage, Inc. Facility NPI 1265739007

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
184 Specialists

Practicing in Bronx, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY 4061

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922822774

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
⚠️
NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2017

Registered at 390 E FORDHAM RD, BRONX, NY 104585005 (Tel: 7182206060)

📍
Updated Business Mailing Address March 20, 2017

Registered at 390 E FORDHAM RD, BRONX, NY 104585005 (Tel: 7186265184)

👤
Provider Name / Credentials Updated March 20, 2017

Recorded as MARC STIMMER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Optometrist (License #4061 in NY)

NPI Profile Active April 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2008

Registered at 390 E FORDHAM RD, BRONX, NY 104585005 (Tel: 7182206060)

📍
Updated Business Mailing Address April 25, 2008

Registered at 390 E FORDHAM RD, BRONX, NY 104585005 (Tel: 7186265184)

👤
Provider Name / Credentials Updated April 25, 2008

Recorded as MARK STIMMER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2008

Optometrist (License #4061 in NY)

🟢
Initial NPI Registration & Enumeration April 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Stimmer. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Stimmer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770758252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2008
Last Update: April 25, 2008
Deactivation Date: July 17, 2025

Mailing Address

390 E Fordham Rd

Bronx, NY 104585005

Phone: 7186265184

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.