Stephen Ray Roark, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO1490 Issued in CO

Practice address

3510 Galley Rd
Colorado Springs, CO 80909-4353

Phone

(719) 597-4423

Fax

(719) 596-6440

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Eyeland, P.C.Group PAC ID 4981028719, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eyeland, P.C.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1386826048
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083659015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 FORT WORTH RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316721",
            "telephone_number": "719-597-4423",
            "fax_number": "719-596-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094353",
            "telephone_number": "719-597-4423",
            "fax_number": "719-596-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "STEPHEN",
        "middle_name": "RAY",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08014904",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landry Rizzotto
• RNB Pharmacy LLC
• Alyssa Nichole Roach
• Laura Roach, PT, DPT
• Mary Roach
• Taylor Lauren Roark, CRNP
• Tamie Sue Robb, RN
• Colton Robbins, RBT
• David Robbins, O.D.
• Donna Kay Robbins, PHARM D

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.