Individual provider Active NPI

Stephen Douglas Owens, M.D.

  • Ophthalmology Physician
  • Montgomery, AL
National Provider Identifier
1104834423
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15332 Issued in AL
Practice address
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone
(334) 260-8511
Fax
(334) 260-8755
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15332 AL
Ophthalmology Physician 207W00000X 15332 AL Primary

Addresses

Primary practice location

262 Mitylene Park Dr
Montgomery, AL 36117-3548

Mailing address

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Other identifiers 3

IdentifierTypeStateIssuer
51506599OtherALBLUE CROSS BLUE SHIELD
51520273OtherALBLUE CROSS BLUE SHIELD
051519737MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000022 AL Practitioner - Ophthalmology 6305738071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Partners PCGroup PAC ID 8123016334, 31 clinicians

Practice addresses (Care Compare)

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
87.13
Promoting interoperability
95
Improvement activities
40
Cost
65.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15332ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Partners PC CurrentSince Feb 19, 2018 Accepting new patients
Eye Partners PC Ophthalmology CurrentSince Feb 19, 2018 Accepting new patients
W. Guinn Paulk, M.D., P.C. Specialist Past Accepting new patients
Montgomery Eye Care Associates, LLC PastSince Dec 21, 2003 Accepting new patients

Locations

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

262 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 260-8511

Interoperability endpoints

  • Direct secure messaging: stephen.owens.p1@direct.ecs.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1104834423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012040",
            "telephone_number": "334-793-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-260-8511",
            "fax_number": "334-260-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "15332",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "15332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51506599",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51520273",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051519737",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.