Individual provider Active NPI

Stephen Paul Loughman, O.D.

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1043230675
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02949 Issued in MO
Practice address
9238 Woodstone St
Lenexa, KS 66219-1958
Phone
(913) 495-9999
Fax
(913) 307-0535
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02949 MO Primary
Optometrist 152W00000X 1311 KS

Addresses

Primary practice location

9238 Woodstone St
Lenexa, KS 66219-1958

Mailing address

9238 Woodstone St
Lenexa, KS 66219-1958
Phone (913) 495-9999

Other identifiers 2

IdentifierTypeStateIssuer
PO1389873OtherMCR RR
100219730BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100302000087 MO Practitioner - Optometry 5294633913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somers Eye Center IncGroup PAC ID 9638594146, 2 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 1240
North Kansas City, MO 64116-3253
Phone (816) 842-2015

Merit-based Incentive Payment System (MIPS)

Final score
92.85 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1311KSMDOptometrist
T02949MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Eye Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Mid-America Retina Consultants PA PastSince Jan 1, 2023 Accepting new patients

Locations

2790 Clay Edwards Dr
Ste 1240
North Kansas City, MO 64116
Phone (816) 842-2015

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1043230675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 WOODSTONE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191958",
            "telephone_number": "913-495-9999",
            "fax_number": "913-307-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 WOODSTONE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191958",
            "telephone_number": "913-495-9999",
            "fax_number": "913-307-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHMAN",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02949",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "PO1389873",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219730B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.