St,. Stephen Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ST,. STEPHEN OPTICAL

Practice address

306 Main St E
Saint Stephen, MN 56375-4601

Phone

(320) 252-9380

Fax

(320) 654-9502

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Anton Rudolph

Title

Owner

Phone

(320) 252-9380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1881136216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST E",
            "city": "SAINT STEPHEN",
            "state": "MN",
            "postal_code": "563754601",
            "telephone_number": "320-252-9380",
            "fax_number": "320-654-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST E",
            "city": "SAINT STEPHEN",
            "state": "MN",
            "postal_code": "563754601",
            "telephone_number": "320-252-9380",
            "fax_number": "320-654-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST,. STEPHEN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-252-9380"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Delane
• Index 53 Opt Ical Co.Inc.

• Eyewear Supplier in Saint Stephen, MN
• Providers in Saint Stephen, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.