Organization Active NPI

Steven a Bathje OD

  • Eyewear Supplier
  • Iron River, MI
National Provider Identifier
1154590107
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4901002844 Issued in MI
Legal business name
STEVEN A BATHJE OD
Practice address
202 W Adams St
Box 352
Iron River, MI 49935-1433
Phone
(906) 265-9948
Fax
(906) 265-9940
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Steven A Bathje, OD
Title
Optometrist
Phone
(906) 265-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4901002844 MI Primary

Addresses

Primary practice location

202 W Adams St
Box 352
Iron River, MI 49935-1433

Mailing address

202 W Adams St
Box 352
Iron River, MI 49935-1433
Phone (906) 265-9948

Other names 1

  • Iron River Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

202 W Adams St
#352
Iron River, MI 49935
Phone (906) 265-9948

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1154590107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W ADAMS ST",
            "address_2": "BOX 352",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351433",
            "telephone_number": "906-265-9948",
            "fax_number": "906-265-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W ADAMS ST",
            "address_2": "BOX 352",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351433",
            "telephone_number": "906-265-9948",
            "fax_number": "906-265-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A BATHJE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BATHJE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "906-265-9948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iron River Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.