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. NPI 1265491591
Title
Owner
Phone
(325) 356-3266

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here 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 assignment
Participating since Oct 1, 1984

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Medicare enrollment records

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

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
093286501MedicaidTX

Other providers in Comanche, TX

All providers in Comanche, TX · Eyewear Supplier in Texas

Sources for this page

Verify at the official NPI Registry.