Individual provider Active NPI

Steven John St. Marie, O.D.

  • Optometrist
  • St Albans, VT
National Provider Identifier
1114920170
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
263 Issued in VT
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

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00179932OtherVTRAILROAD MEDICARE
OVNO948MedicaidVT
59V014OtherVTMVP HEALTHCARE
0454604001OtherVTCIGNA HEALTHCARE
28036OtherVTBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 6608824982, 2 clinicians

Practice addresses (Care Compare)

128 Fisher Pond Rd
Saint Albans, VT 05478-6058
Phone (802) 524-9561

Hospital & facility affiliations

  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

Merit-based Incentive Payment System (MIPS)

Final score
97.81 of 100Reported as individual
Quality
93.82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
263VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Eyecare, Inc. Optometrist CurrentSince Jan 1, 2005 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.