Organization Active NPI

Stephanie Krogh OD LLC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1235461906
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEPHANIE KROGH OD LLC
Practice address
2440 Annalee Ave
Saint Louis, MO 63144-2210
Phone
(314) 968-6432
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Stephanie Elaine Fitzgerald, O.D.
Title
Optometrist
Phone
(314) 968-6432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2440 Annalee Ave
Saint Louis, MO 63144-2210

Mailing address

100 THF Blvd
Chesterfield, MO 63005-1123
Phone (636) 536-4609

National Provider Directory

National Provider Directory

Locations

100 Thf Blvd
Chesterfield, MO 63005
Phone (636) 536-4604

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1235461906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THF BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051123",
            "telephone_number": "636-536-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 ANNALEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442210",
            "telephone_number": "314-968-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE KROGH OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-968-6432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.