NPIMap

Organization Active NPI

Jean Claude St. Germain

  • Contact Lens Technician/Technologist
  • Philadelphia, PA
National Provider Identifier
1164956330
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
Legal business name
JEAN CLAUDE ST. GERMAIN
Practice address
49 N 52ND St
Philadelphia, PA 19139-2644
Phone
(215) 472-2550
Fax
(215) 472-2551
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Jean-Claude St. Germain
Title
Owner
Phone
(215) 472-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FC0800X Primary

Addresses

Primary practice location

49 N 52ND St
Philadelphia, PA 19139-2644

Mailing address

49 N 52ND St
Philadelphia, PA 19139-2644
Phone (215) 472-2550

Other identifiers 1

IdentifierTypeStateIssuer
00707046MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1164956330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392644",
            "telephone_number": "215-472-2550",
            "fax_number": "215-472-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392644",
            "telephone_number": "215-472-2550",
            "fax_number": "215-472-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN CLAUDE ST. GERMAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "JEAN-CLAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-472-2550"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00707046",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.