Individual provider Active NPI

Richard Stephenson, OD

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1053414094
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE007964T Issued in PA
Practice address
120 Main St
Johnstown, PA 15901-1507
Phone
(814) 536-5343
Fax
(814) 536-1525
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE007964T PA Primary

Addresses

Primary practice location

120 Main St
Johnstown, PA 15901-1507

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (410) 571-8733

Other practice location 1

341 Baltimore Rd
Shippensburg, PA 17257-9404
Phone (717) 532-8806

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
I20201001000643 PA Practitioner - Optometry 4880013481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1318 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone (814) 266-2027

341 Baltimore Rd
Shippensburg, PA 17257-9404
Phone (717) 532-8806

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 23, 2020 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 23, 2020 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Bruce N. Pelsh Inc. Past Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Optometrist Past Accepting new patients
Neil G. Callahan O.D., P.C. Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

945 Indian Springs Rd
Indiana, PA 15701
Phone (724) 465-6232

1318 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-2027

120 Main St
Johnstown, PA 15901
Phone (814) 536-5343

703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405

341 Baltimore Rd
Shippensburg, PA 17257
Phone (717) 532-8806

215 Georgian Pl
Somerset, PA 15501
Phone (814) 445-3730

170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: richard.stephenson@vip.emadirect.md

Organizations & group practices 8

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1053414094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011507",
            "telephone_number": "814-536-5343",
            "fax_number": "814-536-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Baltimore Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579404",
            "country_code": "US",
            "telephone_number": "717-532-8806",
            "fax_number": "717-532-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007964T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.