Star Haven Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STAR HAVEN INC.

Practice address

4024 Maplewood Dr
Sulphur, LA 70663-6354

Phone

(337) 625-5665

Fax

(337) 625-5665

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Christopher Gregory

Title

President

Phone

(337) 625-5665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sulphur Optical Shoppe Doing business as

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1699838201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636354",
            "telephone_number": "337-625-5665",
            "fax_number": "337-625-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636354",
            "telephone_number": "337-625-5665",
            "fax_number": "337-625-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-625-5665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437751",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sulphur Optical Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Kyle Slaven, DDS
• Deborah Paige Smith
• Michael J Sonnier
• Brandi Stacy, PT
• Jessica N Stanford, MA
• Tania Todorova Staykova-Tchakarova, MD
• Stelly Physical &Occupational Therapy
• Lucinda M. Stelly, R.PH.
• Preston Joseph Stelly Jr., P.T., O.T.
• Lyle Robert Stephenson, MD

• Eyewear Supplier in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.