Michael Stagner,M.D. P.C

Primary specialty

OpticianTaxonomy code 156FX1800X

License

24627 Issued in AZ

Legal business name

MICHAEL STAGNER,M.D. P.C

Practice address

2403 N Stockton Hill Rd Ste 1
Kingman, AZ 86401-4188

Phone

(928) 753-2900

Fax

(928) 753-2944

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By 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

Mrs. Michelle Renee Snowden

Title

Office Manager

Phone

(928) 753-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STAGNER EYE CENTER Other name

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1568801199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N STOCKTON HILL RD STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014188",
            "telephone_number": "928-753-2900",
            "fax_number": "928-753-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N STOCKTON HILL RD STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014188",
            "telephone_number": "928-753-2900",
            "fax_number": "928-753-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STAGNER,M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "SNOWDEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-753-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "24627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1720069982",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAGNER EYE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optician in Kingman, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.