Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert Edward Stauble III, OD

Individual provider Optometrist · NPI 1417472614

Dr. Robert Edward Stauble III, OD is an Optometry in Philadelphia, Pennsylvania. Graduated from Pennsylvania College of Optometry in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2017
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

524 S 2nd St
Philadelphia, PA 19147-2409
Phone: (215) 372-0147
Fax: (215) 372-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG003334 (PA)

Record details

NPI number1417472614
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESMarch 15, 2024
Certification dateFebruary 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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