Individual provider Active NPI

Stephen J Drabick, OD

  • Optometrist
  • Schnecksville, PA
National Provider Identifier
1043291503
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5069T Issued in PA
Practice address
4110 Independence Drive
Suite 400
Schnecksville, PA 18078-2585
Phone
(610) 769-4000
Fax
(617) 769-4002
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5069T PA Primary

Addresses

Primary practice location

4110 Independence Drive
Suite 400
Schnecksville, PA 18078-2585

Mailing address

4110 Independence Drive
Suite 400
Schnecksville, PA 18078-2585
Phone (610) 769-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040929000383 PA Practitioner - Optometry 8628979960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Drabick OD PCGroup PAC ID 8729989066, 2 clinicians

Practice addresses (Care Compare)

4110 Independence Dr
Suite 400
Schnecksville, PA 18078-2585
Phone (610) 769-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5069TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Drabick OD PC CurrentSince Dec 4, 1978 Accepting new patients

Locations

4110 Independence Dr
Ste 400
Schnecksville, PA 18078
Phone (610) 769-4000

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1043291503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 INDEPENDENCE DRIVE",
            "address_2": "SUITE 400",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782585",
            "telephone_number": "610-769-4000",
            "fax_number": "617-769-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 INDEPENDENCE DRIVE",
            "address_2": "SUITE 400",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782585",
            "telephone_number": "610-769-4000",
            "fax_number": "617-769-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRABICK",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "5069T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schnecksville, PA

Sources for this page

Verify at the official NPI Registry.