Stephen J. Reigstad Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2980 Issued in MN

Legal business name

STEPHEN J. REIGSTAD OPTOMETRY INC.

Practice address

330 4TH St SW
Willmar, MN 56201-3332

Phone

(320) 214-7207

Fax

(320) 214-7220

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen John Reigstad, OD

Title

Optometrist/Owner

Phone

(320) 262-4546

Specialties & licenses 1

Addresses

Other names 1

• Stephen's Downtown Optical Doing business as

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1679727697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 15TH AVE NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012136",
            "telephone_number": "320-262-4546",
            "fax_number": "320-214-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 4TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013332",
            "telephone_number": "320-214-7207",
            "fax_number": "320-214-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. REIGSTAD OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "REIGSTAD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "320-262-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen's Downtown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Stangel, MS
• Shelly M Staska, MD
• Kristin Ashlie Staten Hall, LCSW
• Kaleena Steinberg
• Katherine Marie Steinhoff, LICSW
• Matthew Stephens, HID
• Roger Curtis Stephens
• Carli Sternberg
• Rebecca Stevensen
• Bethany Layne Stevermer, PA-C

• All providers in Willmar, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.