Stephen C McClintic, O.D. P.C
Optometrist in Harrison, MI. Organization (NPI-2).
NPI number1124336375
StatusActive
Last updated in NPPESSep 22, 2010
Details
- NPI
- 1124336375
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen C McClintic, O.D. P.C
- Organization subpart
- No
- Enumeration date
- Sep 22, 2010
- Last updated
- Sep 22, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901003123 | MI | Yes |
Practice location
444 S 1st StHarrison, MI 48625-2500
Phone 989-539-2020 · Fax 989-539-2461
Mailing address
444 S 1st StPo Box 90
Harrison, MI 48625-2500
Phone 989-539-2020 · Fax 989-539-2461
Authorized official
Angela J Laporte
Office Manager
9895392020
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