Active NPI
Stephen Matthew Garnett, OD
- Optometrist
- Saint Peters, MO
National Provider Identifier
1932273760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2437
- Practice address
- 500 Jungermann Rd
Suite 202
Saint Peters, MO 63376-2774 - Phone
- (636) 928-7888
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TO2437 | MO | Primary |
Addresses
Primary practice location
500 Jungermann Rd
Suite 202
Saint Peters, MO 63376-2774
Mailing address
500 Jungermann Rd
Suite 202
Saint Peters, MO 63376-2774
Phone (636) 928-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410030506 | Other | MO | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2437 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1932273760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JUNGERMANN RD",
"address_2": "SUITE 202",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762774",
"telephone_number": "636-928-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JUNGERMANN RD",
"address_2": "SUITE 202",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762774",
"telephone_number": "636-928-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNETT",
"first_name": "STEPHEN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "410030506",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.