Stephen Vincent Cusumano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2670 Issued in MO

Practice address

2681 Highway K
O Fallon, MO 63368-7865

Phone

(636) 978-5555

Fax

(636) 978-5555

NPI assigned

May 27, 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 3

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimized Eyecare LLC 2 clinicians

Regional Eyecare Associates Inc 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimized Eyecare, LLC

  • Optometrist
  • Ellisville, MO
  • NPI 1366080632

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Regional Eyecare Associates Inc

  • Optometrist
  • O Fallon, MO
  • NPI 1043380652

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• St. Louis Eye Care Specialists, LLC

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1598946931

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1831192533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 210",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-695-8555",
            "fax_number": "636-695-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687865",
            "telephone_number": "636-978-5555",
            "fax_number": "636-978-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3758 Elm St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014336",
            "country_code": "US",
            "telephone_number": "636-757-3553",
            "fax_number": "636-757-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "91710001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831192533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "431081796",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Ruth Cruz, OTR/L
• Thomas R Culligan IV
• Cure Company Home Health Care
• Aleah Curley, LPC
• Alexis Custard-Mobley, LPC
• Ashley Marie Cutrona, PHARMD
• CVPT- Lake Saint Louis, LLC
• D K Medical Supply LLC
• Michael Danter, M.D.
• Dardenne Dental LLC

• All providers in O Fallon, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.