Individual provider Active NPI

Donald Kenneth Steensma, O.D.

  • Optometrist
  • Port Hueneme, CA
National Provider Identifier
1194748509
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6121TPL Issued in CA
Practice address
465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102
Phone
(805) 486-3585
Fax
(805) 486-3586
NPI assigned
Jul 26, 2006
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6121TPL CA Primary

Addresses

Primary practice location

465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102

Mailing address

465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102
Phone (805) 486-3585

Other identifiers 1

IdentifierTypeStateIssuer
SD0061210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Strand Optometry Corp Optometrist CurrentSince Jun 27, 2021 Accepting new patients

Locations

465 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 486-3585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1194748509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585",
            "fax_number": "805-486-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585",
            "fax_number": "805-486-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENSMA",
        "first_name": "DONALD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6121TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0061210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.