Stephen Thomas Basic III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001252 Issued in VA

Practice address

1114 Emmet St N Ste D
Charlottesville, VA 22903-4841

Phone

(434) 971-2020

Fax

(434) 295-1351

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen T Basic III OD and Associates PLLCGroup PAC ID 4082868989, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stephen T Basic III OD and Associates PLLC

  • Optometrist
  • Charlottesville, VA
  • NPI 1447504519
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1033259957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VILLAGE CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034027",
            "telephone_number": "434-409-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EMMET ST N STE D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034841",
            "telephone_number": "434-971-2020",
            "fax_number": "434-295-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIC",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Basbaum
• Courtney Bascom
• Salma Bashayreh
• Mohammad U Bashir, M.D.
• Mudhasir Bashir, M.D.
• Travis Bassell, PHARMD
• Catherine Renee Bassett, DO
• Kathryn Bast
• Mariam Batakji, MD
• Prem P. Batchala, MD

• Optometrist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.