Active NPI
Joseph A. Stroetker, O.D.
- Optometrist
- Sullivan, MO
National Provider Identifier
1467489161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02592
- Practice address
- 280 E Springfield Rd
Sullivan, MO 63080-1364 - Phone
- (573) 468-4032
- NPI assigned
- Jun 27, 2006
- Last updated
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02592 | MO | Primary |
Addresses
Primary practice location
280 E Springfield Rd
Sullivan, MO 63080-1364
Mailing address
PO Box 457
Sullivan, MO 63080-0457
Phone (573) 468-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prange Riley Optometrists, P.C. | Optometrist | Current | Accepting new patients |
Locations
280 E Springfield Rd
Sullivan, MO 63080
Phone (573) 468-4032
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1467489161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630800457",
"telephone_number": "573-468-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 E SPRINGFIELD RD",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801364",
"telephone_number": "573-468-4032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROETKER",
"first_name": "JOSEPH",
"middle_name": "A.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sullivan, MO
- Karen D Smikahl-Biggs, OT
- Suzanne Sparks, LPC
- Spring Bluff R-XV School District
- Colby Andrew Stack, NP
- Christie Marie Starr, PHARMD
- Sullivan Consolidated District No 2
- Sullivan Dental Partnership LLC
- Sullivan Dental Partnership, LLC
- Sullivan Operations, LLC (Life Care Center of Sullivan)
- Sullivan Residential, LLC (Dunsford Court Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.