Lee Andrew St Pierre, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2459 Issued in AR

Practice address

2917 Browns LN
Jonesboro, AR 72401-7203

Phone

(870) 802-2020

Fax

(870) 931-7976

NPI assigned

Sep 22, 2005

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Andrew St Pierre

  dba Northeast Arkansas Eye Care Center

  • Optometrist
  • Jonesboro, AR
  • NPI 1770601742
  Authorized official Same address or phone
• Lee Andrew St.Pierre

  • Eyewear Supplier
  • Trumann, AR
  • NPI 1689822637
  NPD (past) Authorized official

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1770579179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017203",
            "telephone_number": "870-802-2020",
            "fax_number": "870-931-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017203",
            "telephone_number": "870-802-2020",
            "fax_number": "870-931-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "LEE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134079722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "49327",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Bernards Physician Clinics Inc
• St Bernards Physician Clinics, Inc.
• St Bernards Physician Clinics, Inc.
• St Bernards Physician Clinics, Inc.
• St Bernards Physician Clinics, Inc.
• St. Bernards Behavioral Health
• St. Bernards Behavioral Health
• St. Bernards Behavioral Health
• St. Bernards Hospital Inc (St. Bernards Medical)
• St. Bernards Hospital Inc (St Bernards Lifeline)

• Optometrist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.