David Storer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004029 Issued in MI

Practice address

9330 Broadway
Crown Point, IN 46307-8602

Phone

(312) 569-5252

Fax

(312) 569-5201

NPI assigned

Sep 15, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023

  IN

  Medicare reassignment NPD
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1386740504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602",
            "telephone_number": "312-569-5252",
            "fax_number": "312-569-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Shelby Stewart, CPHT
• Lauren Stewart
• Zachery Stewart
• Chelsey M Stinnett, MA, LMHCA
• Lisa Ellen Stonebraker, LCSW
• Paula Stout
• Kaitlin E Strange, LSW
• Jennifer Rae Strayer, LCSW
• Kelly Strazzante, RD, PA-C
• Michael Timothy Strazzante, PA-C

• Optometrist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.