Individual provider Active NPI

Stephen Edward Haring, O.D.

  • Optometrist
  • Manchester, MO
National Provider Identifier
1164575395
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02872 Issued in MO
Practice address
23 Stonegate Center
Manchester, MO 63088
Phone
(636) 225-9300
Fax
(636) 225-4132
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02872 MO Primary

Addresses

Primary practice location

23 Stonegate Center
Manchester, MO 63088

Mailing address

23 Stonegate Center
Manchester, MO 63088
Phone (636) 225-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080822000149 MO Practitioner - Optometry 2365517000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paige Hedgpath OdpcGroup PAC ID 5991856460, 25 clinicians

Practice addresses (Care Compare)

1340 Big Bend Square Shop Ctr
Manchester, MO 63021-7618
Phone (636) 225-9300

1400 Forum Blvd
Suite 14
Columbia, MO 65203-1997
Phone (573) 446-0331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath Odpc Optometrist CurrentSince Sep 20, 2023 Accepting new patients
Desoto Vision Care LLC Optometrist CurrentSince Oct 20, 2024 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Sep 20, 2023 Accepting new patients
Prange Riley Optometrists, P.C. Optometrist PastSince Mar 15, 2000 Accepting new patients

Locations

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

126 S Main St
De Soto, MO 63020
Phone (636) 586-5406

323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313

1340 Big Bend Square Shop Ctr
Manchester, MO 63021
Phone (636) 225-9300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1164575395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STONEGATE CENTER",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "63088",
            "telephone_number": "636-225-9300",
            "fax_number": "636-225-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 STONEGATE CENTER",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "63088",
            "telephone_number": "636-225-9300",
            "fax_number": "636-225-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARING",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

Verify at the official NPI Registry.