Organization Active NPI

Dr. Stefie Ribeiro O.D, Prof. Corp

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1154833200
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14851 Issued in CA
Legal business name
DR. STEFIE RIBEIRO O.D, PROF. CORP
Practice address
46660 Washington St Ste 3
La Quinta, CA 92253-2451
Phone
(760) 564-9944
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Dr. Stefie Ribeiro, ODNPI 1548422207
Title
Optometrist
Phone
(760) 564-9944

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14851 CA Primary

Addresses

Primary practice location

46660 Washington St Ste 3
La Quinta, CA 92253-2451

Mailing address

46660 Washington St Ste 3
La Quinta, CA 92253-2451
Phone (760) 564-9944

Other names 1

  • Perspective Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171113003529 CA Part B Supplier - Clinic/Group Practice 4082970769 Receives reassigned benefits from 2 practitioners
Practice locations: La Quinta, CA

National Provider Directory

National Provider Directory

Locations

46660 Washington St
Ste 3
La Quinta, CA 92253
Phone (760) 564-2113

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1154833200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46660 WASHINGTON ST STE 3",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532451",
            "telephone_number": "760-564-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46660 WASHINGTON ST STE 3",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532451",
            "telephone_number": "760-564-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEFIE RIBEIRO O.D, PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "STEFIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "760-564-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perspective Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.