Joseph A. Stroetker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02592 Issued in MO

Practice address

280 E Springfield Rd
Sullivan, MO 63080-1364

Phone

(573) 468-4032

NPI assigned

Jun 27, 2006

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Prange Riley Optometrists, P.C.

  • Optometrist
  • Sullivan, MO
  • NPI 1316072986
  Medicare reassignment NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC #",
            "identifier": "0204770001",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312334105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Sullivan Residential, LLC

• Optometrist in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Optometrist in Missouri

• 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.

Verify at the official NPI Registry.