Individual provider Active NPI

William Henry Stephen, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1003805169
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2897 Issued in FL
Practice address
5885 Gunn Hwy
Tampa, FL 33625-4007
Phone
(813) 908-0100
Fax
(813) 908-0099
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2897 FL Primary

Addresses

Primary practice location

5885 Gunn Hwy
Tampa, FL 33625-4007

Mailing address

5885 Gunn Hwy
Tampa, FL 33625-4007
Phone (813) 908-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000665 FL Practitioner - Optometry 9436220399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H Stephen OD PAGroup PAC ID 6103991781, 2 clinicians

Practice addresses (Care Compare)

5885 Gunn Hwy
Tampa, FL 33625-4007
Phone (813) 908-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2897FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William H Stephen OD PA Optometrist CurrentSince Aug 14, 2007 Accepting new patients

Locations

5885 Gunn Hwy
Tampa, FL 33625
Phone (813) 908-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1003805169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254007",
            "telephone_number": "813-908-0100",
            "fax_number": "813-908-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254007",
            "telephone_number": "813-908-0100",
            "fax_number": "813-908-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.