Individual provider Active NPI

John David Stephens, M.D.

  • Ophthalmology Physician
  • Cape Coral, FL
National Provider Identifier
1134549967
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME139691 Issued in FL
Practice address
4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone
(239) 542-2020
NPI assigned
Apr 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME139691 FL Primary

Addresses

Primary practice location

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165

Mailing address

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidstephens@tysoneye.imwdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190624000326 FL Practitioner - Ophthalmology 2365756715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139691FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. CurrentSince Jul 1, 2019 Accepting new patients
Cape Coral Eye Center, P.a. Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Cape Coral Eye Center Past Accepting new patients
Cape Coral Eye Center, PA Past Accepting new patients

Locations

3925 Bonita Beach Rd
Bonita Springs, FL 34134
Phone (239) 947-2226

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

8004 Vintage Pkwy
Estero, FL 33967

18770 N Tamiami Trl
North Fort Myers, FL 33903
Phone (833) 733-3754

Interoperability endpoints

  • Direct secure messaging: davidstephens@tysoneye.imwdirect.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": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1134549967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047165",
            "telephone_number": "239-542-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047165",
            "telephone_number": "239-542-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-19",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME139691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidstephens@tysoneye.imwdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "4120 Del Prado Blvd S",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339047165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.