Organization Active NPI

Dr. Andrea Stamm OD and Associates PSC

  • Optometrist
  • Richmond, KY
National Provider Identifier
1477878155
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. ANDREA STAMM OD AND ASSOCIATES PSC
Practice address
116 Meridian Way
Suite 3
Richmond, KY 40475-2876
Phone
(859) 353-4053
Fax
(859) 624-9667
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Andrea Stamm, ODNPI 1598807927
Title
Owner
Phone
(859) 230-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

116 Meridian Way
Suite 3
Richmond, KY 40475-2876

Mailing address

524 Shearwater Dr
Richmond, KY 40475-7524
Phone (859) 353-4053

National Provider Directory

National Provider Directory

Locations

116 Meridian Way
Ste 3
Richmond, KY 40475
Phone (859) 353-4053

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1477878155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SHEARWATER DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757524",
            "telephone_number": "859-353-4053",
            "fax_number": "859-624-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MERIDIAN WAY",
            "address_2": "SUITE 3",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752876",
            "telephone_number": "859-353-4053",
            "fax_number": "859-624-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREA STAMM OD AND ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-230-9880",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.