Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward P Stack, MD

Individual provider Ophthalmology Physician · NPI 1801899885

Edward P Stack, MD is an Ophthalmology in Flint, Michigan. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1991, 35 years ago. Practices with Michigan Vision Institute PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5300 Gateway Ctr
Flint, MI 48507-3930
Phone: (810) 720-9111
Fax: (810) 720-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301065179 (MI)

Record details

NPI number1801899885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address5300 Gateway Ctr, Flint, MI 48507-3930

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Michigan Vision Institute Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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