Stephanie Phyo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13348T Issued in CA

Practice address

2610 Tuolumne St
Fresno, CA 93721-1227

Phone

(559) 825-8610

NPI assigned

Jul 11, 2008

Sex

Female

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.phyo.1@17661.direct.athenahealth.com

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.

• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114
  Medicare reassignment NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1114757754
  NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1588086771
  NPD

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1053575845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TUOLUMNE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211227",
            "telephone_number": "559-825-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TUOLUMNE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211227",
            "telephone_number": "559-825-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHYO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13348T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Phonsurin
• Saengsulee Phonxaylinkham
• Jaden Phouthavong
• Sompan Phrachomphone
• Phung K Pham DDS Inc
• Phys Med a Physical Therapy Corporation
• Physical Medicine Rehab Clinics-Jaipal Sidhu MD, Inc
• Physicians Choice Mobile Imaging
• Physicians Hearing Services
• Physicians Imaging LP

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.