Stephanie Sturgis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00724 Issued in RI

Practice address

891 Westminster St
Providence, RI 02903-4020

Phone

(401) 331-7850

Fax

(401) 274-4739

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Wilkos Other name

Medicare fee-for-service enrollment

Enrolled in CT, RI2 enrollments

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 2

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Hill Eye Care LLCGroup PAC ID 2264813526, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cumberland Hill Eye Care LLC

  • Optometrist
  • Cumberland, RI
  • NPI 1487398087
  Medicare reassignment Care Compare group NPD Authorized official
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Manchester, CT
  • NPI 1467048710
  NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Clyde E Haworth Jr

  • Eyewear Supplier
  • Cumberland, RI
  • NPI 1376721936
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1083098156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGIS",
        "first_name": "STEPHANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002954",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WILKOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory L. Stuart, PHD
• Ashley Stuckey, MD
• Anne Stulik, NP
• Jessica Stults, LICSW
• Allison Stumper, PHD
• Emily Lucile Sturm, MD
• Ellen M Sturtevant
• Stanley John Stutz Jr.
• Michele J. Style, DO
• Shova Subedi, M.D.

• Optometrist in Providence, RI
• Providers in Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.