Stephen K. Near, O.D.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4901003250 Issued in MI

Legal business name

STEPHEN K. NEAR, O.D.

Practice address

235 N Mill St
Saint Louis, MI 48880-1524

Phone

(989) 681-2684

Fax

(989) 681-4223

NPI assigned

Sep 12, 2007

Last updated

Jun 10, 2014By 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

Dr. Stephen K. Near, O.D.NPI 1811087745

Title

Owner

Phone

(989) 681-2684

Specialties & licenses 1

Addresses

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.

• Stephen K Near, O.D.

  • Optometrist
  • Saint Louis, MI
  • NPI 1811087745
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1619162765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801524",
            "telephone_number": "989-681-2684",
            "fax_number": "989-681-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801524",
            "telephone_number": "989-681-2684",
            "fax_number": "989-681-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K. NEAR, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "NEAR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-681-2684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901003250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Saint Louis, MI
• Providers in Saint Louis, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.