Dr. Raymond W. Stepp, P.C.
Organization Active NPI Eyewear Supplier · Comanche, TX
NPI 1104091867 · NPPES record last updated Jul 8, 2010
Key facts
- NPI
- 1104091867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 2182TG (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Raymond W Stepp, O.D.
- Title
- Owner
- Phone
- (325) 356-3266
Practitioners 1
-
Raymond W Stepp, O. D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dr. Raymond W. Stepp, P.C. |
Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
406 N Austin St
Comanche, TX 76442
Phone (325) 356-3266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2182TG | TX | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093286501 | Medicaid | TX |
Other providers in Comanche, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.