Stephanie Garza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011573 Issued in IL

Practice address

4663 W 95TH St
Oak Lawn, IL 60453-2540

Phone

(708) 636-0600

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

Yes

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 IL

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

Midwestern University College of Dental Medicine, Downers Grove, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harold E Davis and Terry Alan Trust EtalGroup PAC ID 1456422070, 4 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.

• Harold E Davis & Terry Alan Trust Etal

  • Optometrist
  • Oak Lawn, IL
  • NPI 1265621361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1093472110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W HUBBARD ST APT 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544743",
            "telephone_number": "219-363-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532540",
            "telephone_number": "708-636-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla R Garrett-Hauser, MD
• Vivian L Garrett-Lee, PA
• Kharece Garrett
• Alexandra Gary, DO
• Katelyn Garza, DO
• Catherine Gas, FNP-BC
• Ann Gasior, M.S. CCC-SLP
• Gavani & Kanuri MD SC
• Julie Gavin, OTR/L
• Elizabeth Gawne

• Optometrist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.