Organization Active NPI

Dr. Raymond W. Stepp, P.C.

  • Eyewear Supplier
  • Comanche, TX
National Provider Identifier
1104091867
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2182TG Issued in TX
Legal business name
DR. RAYMOND W. STEPP, P.C.
Practice address
406 N Austin St
Comanche, TX 76442-2408
Phone
(325) 356-3266
Fax
(325) 356-5247
NPI assigned
Apr 24, 2008
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Raymond W Stepp, O.D.NPI 1265491591
Title
Owner
Phone
(325) 356-3266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2182TG TX Primary

Addresses

Primary practice location

406 N Austin St
Comanche, TX 76442-2408

Mailing address

PO Box 543
Comanche, TX 76442-0543
Phone (325) 356-3266

Other identifiers 1

IdentifierTypeStateIssuer
093286501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930097328 TX DME Supplier - Physician - Optometrist 7012034218 Practice locations: Comanche, TX
O20120430000716 TX Part B Supplier - Clinic/Group Practice 7012034218 Receives reassigned benefits from 1 practitioner
Practice locations: Comanche, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr. Raymond W. Stepp, P.C.406 N Austin St, Comanche, TX 76442-2408(325) 356-3266 Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

406 N Austin St
Comanche, TX 76442
Phone (325) 356-3266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1104091867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764420543",
            "telephone_number": "325-356-3266",
            "fax_number": "325-356-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N AUSTIN ST",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764422408",
            "telephone_number": "325-356-3266",
            "fax_number": "325-356-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAYMOND W. STEPP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-356-3266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "2182TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093286501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.