STEPHANIE LYNN CULLINAN (NPI# 1275898173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275898173 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN CULLINAN |
| Other Name | STEPHANIE LYNN IVERSON |
| Credential | O.D. |
| Practice Address |
3122 S Grand St. Louis MO 63118 |
| Mailing Address |
40 E North St Eureka MO 63025-1205 |
| Practice Telephone | 3144507313 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6369382650 |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2013023063 | MO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 862 | MS | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 3051 | TN | Eye and Vision Services Providers |
| Street Address |
3122 S GRAND |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| 1659576205 | Forest Park Pharmacy | Pharmacy | 3535 S. Jefferson Ave, Ste (s-1), St Louis, MO 63118 | 2007-06-15 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285763045 | James Craig Hancock | Optometrist | 250 South County Center Way, Sears Optical, St. Louis, MO 63129 | 2007-03-05 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1689716656 | Kirsten Kate Shields | Optometrist | 100 South County Centerway, St. Louis, MO 63129-1009 | 2007-02-13 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1215095013 | Nu-crown, LLC | Optometrist | 10465 St. Charles Rock Road, St. Louis, MO 63074 | 2006-12-05 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1588758098 | Michael Antoine | Optometrist | 2943 St. Louis Galleria, St. Louis, MO 63117-1113 | 2006-10-02 |
| 1083643753 | Darci Lea Hunter Prewitt | Optometrist | Lenscrafters, 122a S County Center Way, St. Louis, MO 63129-1092 | 2006-07-03 |
| 1427058080 | David B Seibel | Optometrist | Vision Care Consultants, 12121 Tesson Ferry Professional Center, St. Louis, MO 63128 | 2005-07-26 |
| 1558360644 | Craig M Brawley | Optometrist | 12121 Tesson Ferry Professional Center, St. Louis, MO 63128-1250 | 2005-07-20 |
| Find all providers in ST. LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.