Active NPI
Stephanie Whatley
- Optometrist
- Folsom, CA
National Provider Identifier
1104308345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT34053-TLG
- Practice address
- 2390 E Bidwell St Ste 400
Folsom, CA 95630 - Phone
- (916) 983-6211
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- 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 | OPT34053-TLG | CA | Primary |
Addresses
Primary practice location
2390 E Bidwell St Ste 400
Folsom, CA 95630
Mailing address
9664 Lake Natoma Dr
Orangevale, CA 95662-5052
Other names 1
- Stephanie Lambson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT34053-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Hoffman OD Inc | Optometrist | Current | Accepting new patients |
Locations
2390 E Bidwell St
Ste 400
Folsom, CA 95630
Phone (916) 983-6211
Organizations & group practices 1
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.
-
- Optometrist
- Folsom, CA
- NPI 1538979091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1104308345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9664 LAKE NATOMA DR",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956625052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 E BIDWELL ST STE 400",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-983-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34053-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "LAMBSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.