Stephen C McClintic, O.D. P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003123 Issued in MI

Legal business name

STEPHEN C MCCLINTIC, O.D. P.C

Practice address

444 S 1St St
Harrison, MI 48625-2500

Phone

(989) 539-2020

Fax

(989) 539-2461

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Angela J Laporte

Title

Office Manager

Phone

(989) 539-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Brozzo

  • Optometrist
  • Midland, MI
  • NPI 1356757926
  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1124336375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S 1ST ST",
            "address_2": "PO BOX 90",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486252500",
            "telephone_number": "989-539-2020",
            "fax_number": "989-539-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S 1ST ST",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486252500",
            "telephone_number": "989-539-2020",
            "fax_number": "989-539-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C MCCLINTIC, O.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-539-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247324",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Schneider, PA-C
• Samantha Sherman, PTA
• Katie Mae Shook
• Sydney Simon, RN
• Kathlyn Marie Steinman, MSW LMSW ACSW
• Blanche Annette Stevens, LMSW
• Samantha Sturgeon, PA-C
• Kathryn Tasson, PA-C
• Julie Thomason, LLMSW
• Melissa Mae Thompson

• Optometrist in Harrison, MI
• Providers in Harrison, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.