Active NPI
John G. Stepensky Sr., L.O.
- Optician
- New Britain, CT
National Provider Identifier
1083831937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 000406
- Practice address
- 513 S Main St
New Britain, CT 06051-4007 - Phone
- (860) 223-3973
- Fax
- (860) 223-3973
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 000406 | CT | Primary |
Addresses
Primary practice location
513 S Main St
New Britain, CT 06051-4007
Mailing address
513 South Main St.
New Britain, CT 06051
Phone (860) 223-3973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000406CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 133452 | Other | CT | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000406 | CT | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Stepensky | Optician | Past | Accepting new patients |
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.
-
- Optician
- New Britain, CT
- NPI 1033396569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1083831937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 SOUTH MAIN ST.",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "06051",
"telephone_number": "860-223-3973",
"fax_number": "860-223-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 S MAIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060514007",
"telephone_number": "860-223-3973",
"fax_number": "860-223-3973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPENSKY",
"first_name": "JOHN",
"middle_name": "G.",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "L.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "000406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "100000406CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "133452",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.