Stephen N. Cajacob, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2935T377 Issued in OH

Legal business name

STEPHEN N. CAJACOB, O.D.

Practice address

1034 W Market St
Lima, OH 45805-2730

Phone

(419) 228-8116

Fax

(419) 228-1160

NPI assigned

Jan 17, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen N Cajacob, O.D.NPI 1699774901

Title

Owner

Phone

(419) 228-8116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen N Cajacob, O.D.

  • Optometrist
  • Lima, OH
  • NPI 1699774901
  NPD (past) Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1083890297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052730",
            "telephone_number": "419-228-8116",
            "fax_number": "419-228-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052730",
            "telephone_number": "419-228-8116",
            "fax_number": "419-228-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN N. CAJACOB, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "CAJACOB",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2935T377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lima, OH
• Providers in Lima, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.