Provider Demographics
NPI:1265623086
Name:STELZER, ADAM LOUIS (OD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LOUIS
Last Name:STELZER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 INDIAN CREEK DR
Mailing Address - Street 2:APT. 1602
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2356
Mailing Address - Country:US
Mailing Address - Phone:941-920-2106
Mailing Address - Fax:
Practice Address - Street 1:6000 INDIAN CREEK DR
Practice Address - Street 2:APT. 1602
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2356
Practice Address - Country:US
Practice Address - Phone:941-920-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4244152W00000X
NYTUV007163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist