Organization Active NPI

Lee Andrew St Pierre

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1770601742
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2459 Issued in AR
Legal business name
LEE ANDREW ST PIERRE
Practice address
2917 Browns LN
Jonesboro, AR 72401-7203
Phone
(870) 802-2020
Fax
(870) 931-7976
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Lee Stpierre, O.D.
Title
Owner
Phone
(870) 802-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2459 AR Primary

Addresses

Primary practice location

2917 Browns LN
Jonesboro, AR 72401-7203

Mailing address

2917 Browns LN
Jonesboro, AR 72401-7203
Phone (870) 802-2020

Other identifiers 1

IdentifierTypeStateIssuer
134079722MedicaidAR

Other names 1

  • Northeast Arkansas Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2917 Browns Ln
Jonesboro, AR 72401
Phone (870) 802-2020

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1770601742",
    "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": {
        "organization_name": "LEE ANDREW ST PIERRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "STPIERRE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-802-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134079722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Arkansas Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.