Individual provider Active NPI

Aaron Stephenson, OD

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1144707886
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9465T Issued in TX
Practice address
6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone
(713) 797-1010
Fax
(713) 357-7290
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9465T TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 650
Bellaire, TX 77401-3505

Mailing address

6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone (713) 797-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003028 TX Practitioner - Optometry 7618226374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JBK Eye Care LLPGroup PAC ID 3476656190, 3 clinicians

Practice addresses (Care Compare)

1801 4TH Ave
Suite C
Canyon, TX 79015-3853
Phone (806) 655-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9465TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JBK Eye Care LLP Optometrist CurrentSince Jan 1, 2020 Accepting new patients
JBK Eye Care LLP Optometrist Past Accepting new patients
Jed Lee Howard PA PastSince Jul 2, 2018 Accepting new patients

Locations

1801 4th Ave
Ste C
Canyon, TX 79015
Phone (806) 655-7748

1801 4th Ave
Canyon, TX 79015
Phone (806) 353-9862

517 N 25 Mile Ave
Hereford, TX 79045
Phone (806) 364-3030

Organizations & group practices 3

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1144707886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "AARON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9465T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.