Active NPI
Steven John St. Marie, O.D.
- Optometrist
- St Albans, VT
National Provider Identifier
1114920170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 263
- Practice address
- 128 Fisher Pond Rd
St Albans, VT 05478-6058 - Phone
- (802) 524-9561
- Fax
- (802) 524-6060
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 263 | VT | Primary |
Addresses
Primary practice location
128 Fisher Pond Rd
St Albans, VT 05478-6058
Mailing address
128 Fisher Pond Rd
St Albans, VT 05478-6058
Phone (802) 524-9561
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00179932 | Other | VT | RAILROAD MEDICARE |
| OVNO948 | Medicaid | VT | |
| 59V014 | Other | VT | MVP HEALTHCARE |
| 0454604001 | Other | VT | CIGNA HEALTHCARE |
| 28036 | Other | VT | BLUE CROSS/BLUE SHIELD VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000023 | VT | Practitioner - Optometry | 4688622962 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Valley Eyecare Inc
Practice addresses (Care Compare)
128 Fisher Pond Rd
Saint Albans, VT 05478-6058
Phone (802) 524-9561
Hospital & facility affiliations
- Northwestern Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.81 of 100
- Quality
- 93.82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Eyecare, Inc. | Optometrist | Current | Accepting new patients |
Locations
128 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 404-7154
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Saint Albans, VT
- NPI 1083601587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1114920170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 FISHER POND RD",
"city": "ST ALBANS",
"state": "VT",
"postal_code": "054786058",
"telephone_number": "802-524-9561",
"fax_number": "802-524-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 FISHER POND RD",
"city": "ST ALBANS",
"state": "VT",
"postal_code": "054786058",
"telephone_number": "802-524-9561",
"fax_number": "802-524-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. MARIE",
"first_name": "STEVEN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00179932",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVNO948",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "59V014",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "0454604001",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD VT",
"identifier": "28036",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.