Dr Craig Staab and Associates P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

1122 Issued in GA

Legal business name

DR CRAIG STAAB AND ASSOCIATES P C

Practice address

150 Altama Connector
Brunswick, GA 31525-2203

Phone

(812) 262-6846

Fax

(912) 262-6102

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Craig Staab, O.D.NPI 1952439416

Title

Optometrist

Phone

(912) 262-6846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Craig S Staab, D.O.

  • Optometrist
  • Brunswick, GA
  • NPI 1952439416
  Medicare reassignment NPD Authorized official
• Bridget Staab, O.D.

  • Optometrist
  • Brunswick, GA
  • NPI 1700331741
  Medicare reassignment NPD

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1306031109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252203",
            "telephone_number": "812-262-6846",
            "fax_number": "912-262-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252203",
            "telephone_number": "812-262-6846",
            "fax_number": "912-262-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRAIG STAAB AND ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "STAAB",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "912-262-6846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donatorx LLC (Golden Isles Pharmacy)
• Maxwell Donnan, DNP
• Nathalie Douglas, RN
• Courtney Dowling, MSN, APRN, FNP-C
• Kyrsten Lee Dowling, PT, DPT
• Dr John T Wilson PC
• Dr R McEwan PC
• Dr. David L. Lawson, M.D., P.C.
• Dr. Jen Rocks, LLC
• Dr. Scott L. Tarplee, D.O.

• Optometrist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.