Stephen C McClintic, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003123 Issued in MI

Practice address

444 South First St
Harrison, MI 48625

Phone

(989) 539-2020

NPI assigned

Oct 11, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Buckingham and Kaminski PLC

  • Optometrist
  • Midland, MI
  • NPI 1205047305
  NPD (past)
• Harrison Eye Care PLC

  • Clinic/Center
  • Harrison, MI
  • NPI 1144694241
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1699763979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486250090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SOUTH FIRST ST",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTIC",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943247324",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900A865020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Lemorie
• Shelby Long
• Deanna Lee Losey
• Maclean Pharmacy, Inc.
• Maureen M Gierucki DDS PLLC
• Mitchell L. McMillan, M.S.P.T.
• Mid-Michigan Recovery Center
• Midmichigan Health Services
• Michael Gene Mikolaizyk, RPH
• Mariah K Moore

• All providers in Harrison, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.