Stephen E Kraft LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R1PO1 Issued in MO

Legal business name

STEPHEN E KRAFT LLC

Practice address

1150 Graham Rd
Ste 107
Florissant, MO 63031-8077

Phone

(314) 837-3667

Fax

(314) 837-3728

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Stephen E Kraft, MD

Title

Owner

Phone

(314) 837-3667

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leo Frank Hettiger, OPTOMETRIST

  • Sports Vision Optometrist
  • Flora, IL
  • NPI 1821052846
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1285624858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GRAHAM RD",
            "address_2": "STE 107",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318077",
            "telephone_number": "314-837-3667",
            "fax_number": "314-837-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GRAHAM RD",
            "address_2": "STE 107",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318077",
            "telephone_number": "314-837-3667",
            "fax_number": "314-837-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E KRAFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-837-3667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R1PO1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB2242",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "132586",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Stanley
• Alex James Stark-Valdez, FNP
• Jeffrey Ray Stark, DC
• Starrpointe Home Healthcare
• Ronnell Unae Stegall-Fleming
• Mary E Stephens
• Lakiska Stephenson-Perry
• Gabriel A Stephenson, RPH
• Sue M Stevens, RPT
• Ashley Lachelle Stevenson

• Ophthalmology Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.