Steven Duane Decker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2560T Issued in OR

Practice address

485 E Main St
Suite #1
Ashland, OR 97520-2162

Phone

(541) 482-0552

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205982113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202162",
            "telephone_number": "541-482-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202162",
            "telephone_number": "541-482-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "STEVEN",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2560T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293103",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Danielle Davis
• Nichole Day, LCSW
• Rochelle De Forrest
• Lindsey De la Vega, COTA
• Daniel Jordan Decillis, DDS
• Anthony B Dejack, MS
• Rebecca Delforge
• John P Delgado, MD
• Susan Demarinis, D.C.
• Sarah Demulder, LCSW

• Optometrist in Ashland, OR
• Providers in Ashland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.