DR. STEPHEN VINCENT CUSUMANO


Address: 317 Clarkson Rd, Ellisville, MO 63011-2271
Phone: 6363913937

DR. STEPHEN VINCENT CUSUMANO (NPI# 1831192533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831192533
Entity Type Individual
Full Name DR. STEPHEN VINCENT CUSUMANO
Credential O.D.
Practice Address 317 Clarkson Rd
Ellisville
MO 63011-2271
Mailing Address 2719 Valley Rd
Chesterfield
MO 63005-6925
Practice Telephone 6363913937
Practice Fax Number 6363911345
Mailing Telephone 6362309097
Enumeration Date 2005-05-27
Last Update Date 2010-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TO2670 MO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO FEDERAL TAX ID 431081796 01
PTAN 91710001 01
NPI 1831192533 01

Other Providers STEPHEN CUSUMANO

NPI Name Taxonomy Address Enumeration
1699868174 Stephen Paul Cusumano Internal Medicine 850 Hicksville Rd, Suite 104, Seaford, NY 11783-1300 2006-10-02

Office Location

Street Address 317 CLARKSON RD
City ELLISVILLE
State MO
Zip Code 63011-2271

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366080632 Optimized Eyecare, LLC Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2019-12-17
1942847918 Matthew Spencer Kelly Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2019-12-09
1578718789 Cusumano Vision Center, Inc Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2008-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205309234 Heather Renee Leone Nurse Practitioner 452 Sovereign Court Suite A, Ballwin, MO 63011 2019-01-02
1538635297 Jennifer Lea Nicole O'donnell Registered Nurse 13861 Manchester Road, Town and Country, MO 63011 2018-10-22
1285127712 Genevieve Friedmann Social Worker 301 Sovereign Ct Ste 103, Ballwin, MO 63011 2018-06-09
1881187391 Andrew Cittadino Link Dentist 14335 Manchester Road, Ballwin, MO 63011 2018-06-08
1972041283 Anavan LLC Durable Medical Equipment & Medical Supplies 14390 Manchester Rd, Saint Louis, MO 63011 2017-02-07
1780131300 Autism and Behavioral Spectrum LLC Day Training, Developmentally Disabled Services 14733 Clayton Road, Chesterfield, MO 63011 2016-09-01
1265872964 Eryn Nichole Miner Behavioral Analyst 15834 Clayton Road, Ellisville, MO 63011 2013-06-27
1194168765 Donna Margaret Carrillo Developmental Therapist 15834 Clayton Rd., Ellisville, MO 63011 2013-04-12
1891047486 Ashley Amanda Battaglia Chiropractor 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 2012-10-08
1750658480 Gary Frank Sobocinski Pharmacist 4033 Sovereign Court, Ballwin, MO 63011 2011-11-23
Find all providers in zip 63011

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811500069 Pec Chesterfield, LLC Optometrist 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 2020-08-27
1497155345 Clarkson Optometry, Inc Optometrist 217 Clarkson Rd, Ellisville, MO 63011-2219 2014-08-28
1164413415 Gary Wayne Delancey Optometrist 113 Old State Rd, Suite 101, Ellisville, MO 63021-2042 2005-11-03
1912903907 Brian G Lojka Optometrist 194 Clarkson Rd, Ellisville, MO 63011-2244 2005-06-23
1366080632 Optimized Eyecare, LLC Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2019-12-17
1942847918 Matthew Spencer Kelly Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2019-12-09
1962868463 The Koetting Associates Inc. Optometrist 113 Old State Rd, Suite101, Ellisville, MO 63021-2042 2016-01-13
1578718789 Cusumano Vision Center, Inc Optometrist 317 Clarkson Rd, Ellisville, MO 63011-2271 2008-12-02
1710925698 Clarkson Eyecare Center, Inc Optometrist 194 Clarkson Rd, Ellisville, MO 63011-2244 2006-06-03
1689670697 James Wachter Optometrist 194 Clarkson Rd, Ellisville, MO 63011 2005-06-23
Find all providers in ELLISVILLE

Competitor

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City ELLISVILLE
Zip Code 63011

Improve Information

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Dataset Information

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.

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