Stein Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STEIN OPTICAL INC

Practice address

622 S Church St
Watertown, WI 53094

Phone

(920) 262-9200

Fax

(920) 262-8915

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doug Newcom

Title

Officer

Phone

(210) 524-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stein Optical Doing business as

Tax ID family

Stein Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stein Optical Inc

  • Eyewear Supplier
  • Brookfield, WI
  • NPI 1104907757
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1063593614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846309",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S CHURCH ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53094",
            "telephone_number": "920-262-9200",
            "fax_number": "920-262-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "NEWCOM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-524-6700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38717300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stein Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Raphael'S Home Care Services LLC
• Anna Christa Stamas, DO
• Jennifer Pauline Stamm, OTR
• Abby Stas
• Lisa M. Steffl, MS, ATR-L-BC
• Debra A. Stempinski, RN
• Dennis Ray Sterwald, CADC III
• Renee Sterwalt, N/A REGISTRY320145
• Jillian Stevens
• Jenny Louise Stout, MS, CCC/SLP

• Eyewear Supplier in Watertown, WI
• Providers in Watertown, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.