Steven S. Ellinger, OD, PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

B4444X Issued in MI

Legal business name

STEVEN S. ELLINGER, OD, PLC

Practice address

1612 E. Centre Ave.
Portage, MI 49002-4410

Phone

(269) 329-1030

Fax

(269) 329-0966

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven S. Ellinger, O.D.

Title

Sole Member

Phone

(269) 329-1030

Specialties & licenses 1

Addresses

Other names 1

• Progressive Eyecare Centre Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1205955937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024410",
            "telephone_number": "269-329-1030",
            "fax_number": "269-329-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 E. CENTRE AVE.",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024410",
            "telephone_number": "269-329-1030",
            "fax_number": "269-329-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. ELLINGER, OD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "ELLINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "269-329-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "B4444X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Eyecare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hallie Charlotte Steinberger, LMSW
• Lynn Steinhauer, ACSW
• Savannah Marie Stepan, LMT
• John Stephen, PT, DPT, CERT. MDT
• Steven G. Townsend
• Jeffrey M Stevens, D.O.
• Mark Joseph Stevenson, D.D.S
• Stewart Psychological Services, PLC
• Stephanie Stewart, LLP
• Tami Coleen Stingley, LMT

• Clinic/Center in Portage, MI
• Providers in Portage, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.