Dr. Stephen Vincent Cusumano, O.D.
Optometrist in O Fallon, MO. Individual provider (NPI-1).
NPI number1831192533
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1831192533
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Vincent Cusumano
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2005
- Certification date
- Oct 20, 2025
- Last updated
- Oct 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TO2670 | MO | Yes |
Practice location
2681 Highway KO Fallon, MO 63368-7865
Phone 636-978-5555 · Fax 636-978-5555
Mailing address
9979 Winghaven Blvd Ste 210O Fallon, MO 63368-3628
Phone 636-695-8555 · Fax 636-695-8555
Other practice locations
3758 Elm St
Saint Charles, MO 63301-4336
Saint Charles, MO 63301-4336
Phone 636-757-3553 · Fax 636-757-3553
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All 34 Optometrist providers in O Fallon · All 1,566 providers in O Fallon
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