Stillwater Eyewear LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STILLWATER EYEWEAR LLC

Practice address

707 S Western Rd
Stillwater, OK 74074-4126

Phone

(405) 533-2020

Fax

(405) 533-3157

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Martin, MD

Title

Physician/Owner

Phone

(405) 533-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1992270979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744126",
            "telephone_number": "405-533-2020",
            "fax_number": "405-533-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744126",
            "telephone_number": "405-533-2020",
            "fax_number": "405-533-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-533-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.