Stephen E. Warren LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

756192T Issued in LA

Legal business name

STEPHEN E. WARREN LLC

Doing business as

St. Charles Vision Outlet

Practice address

800 C M Fagan Dr
Suite F
Hammond, LA 70403-6062

Phone

(985) 542-9410

Fax

(985) 542-5046

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen E. Warren, O.D.

Title

Owner

Phone

(985) 542-9410

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Charles Vision Outlet Doing business as

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427174010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 C M FAGAN DR",
            "address_2": "SUITE F",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036062",
            "telephone_number": "985-542-9410",
            "fax_number": "985-542-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 C M FAGAN DR",
            "address_2": "SUITE F",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036062",
            "telephone_number": "985-542-9410",
            "fax_number": "985-542-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. WARREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-542-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "756192T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Vision Outlet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Hammond, LA
• Providers in Hammond, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.