Individual provider Active NPI

Stephen J. Bartek, OD

  • Optometrist
  • Lewisburg, TN
National Provider Identifier
1174522338
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0608 Issued in TN
Practice address
1334 N Ellington Pkwy
Lewisburg, TN 37091-2218
Phone
(931) 359-7476
Fax
(931) 359-3780
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20041118001071 TN Practitioner - Optometry 3375507270 Practice locations: Lawrenceburg, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0608TNMDOptometrist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0608 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1334 N Ellington Pkwy
Lewisburg, TN 37091-2218

Mailing address

7060 Oak Brook Ter
Brentwood, TN 37027-8829
Phone (615) 941-2838

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2019.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1174522338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 OAK BROOK TER",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278829",
            "telephone_number": "615-941-2838",
            "fax_number": "615-941-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912218",
            "telephone_number": "931-359-7476",
            "fax_number": "931-359-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEK",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.