Specnique by Stephanie Thier OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

594 Issued in SD

Legal business name

SPECNIQUE BY STEPHANIE THIER OD PC

Practice address

1607 McMillan St
Worthington, MN 56187-2802

Phone

(507) 727-3937

Fax

(507) 727-3939

NPI assigned

Sep 26, 2006

Last updated

May 14, 2015By 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

Stephanie Thier, ODNPI 1215004551

Title

Optometrist

Phone

(507) 360-0298

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Lynn Thier, O.D.

  • Optometrist
  • Worthington, MN
  • NPI 1215004551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1437250164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872802",
            "telephone_number": "507-727-3937",
            "fax_number": "507-727-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872802",
            "telephone_number": "507-727-3937",
            "fax_number": "507-727-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECNIQUE BY STEPHANIE THIER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "THIER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "507-360-0298",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "595",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "601",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203300",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203302",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203360",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203362",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203382",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203380",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwestern Minnesota Opportunity Council, Inc CTC
• Southwestern Minnesota Opportunity Council, Inc.
• Southwestern Minnesota Opportunity Council, Inc.
• Sabrina Sowles
• Specialized Vocational Services, Inc
• Timothy S Stai, PT
• Diane M Stoltenberg, OTR L
• Charles Stoltz, MD
• Jennifer Stratton, MA LPCC MA LADC
• Richard D Sudmeier, MD

• Optometrist in Worthington, MN
• Providers in Worthington, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.