Active NPI
Steven Codner, O.D.
- Optometrist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1636
- Practice address
- 4650 N US Highway 89
SP C 2
Flagstaff, AZ 86004-2400 - Phone
- (928) 526-1911
- Fax
- (928) 526-1503
- NPI assigned
- Jul 25, 2008
- Last updated
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1636 | AZ | Primary |
Addresses
Primary practice location
4650 N US Highway 89
SP C 2
Flagstaff, AZ 86004-2400
Mailing address
11103 West Ave
Ste 6
San Antonio, TX 78213-1370
Phone (210) 524-6803
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1636 | AZ | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sowash Optometry Group PC | Optometrist | Current | Accepting new patients |
| Sowash Optometry Group, PC | Optometrist | Current | Accepting new patients |
| Tom Sowash OD & Associates PC | Optometrist | Past | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients | |
| Sowash Optometry Group PC | Past | Accepting new patients |
Locations
2424 Highway 6 and 50
Grand Junction, CO 81505
Phone (970) 241-2477
2424 Highway 6 and 50
Ste 2026
Grand Junction, CO 81505
2424 Highway 6 and 50
Ste 306
Grand Junction, CO 81505
Phone (970) 257-1427
4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1104081462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "STE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6803",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 N US HIGHWAY 89",
"address_2": "SP C 2",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042400",
"telephone_number": "928-526-1911",
"fax_number": "928-526-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODNER",
"first_name": "STEVEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.