Stephanie Dawn Pulpan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5924TG Issued in TX

Practice address

2309 S Cedar St
Perryton, TX 79070-5901

Phone

(806) 435-5406

Fax

(806) 435-5407

NPI assigned

Nov 28, 2006

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

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 3

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Area Eye Center PA

  • Optometrist
  • Perryton, TX
  • NPI 1356483622
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1215004247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S INDIANA ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790703350",
            "telephone_number": "806-435-5406",
            "fax_number": "806-435-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 S CEDAR ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705901",
            "telephone_number": "806-435-5406",
            "fax_number": "806-435-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULPAN",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5924TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81500Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0854440001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180403101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ochiltree Hospital District (Perryton Health Center)
• Ochiltree Hospital District (Ochiltree Medical Equipment)
• Perryton Independent School District
• Perryton Smiles, PLLC
• Kristie Pinson, RDH, BSDH, OMT
• Logan Alexandra Reagan, SLP
• Reds Pharmacy LLC
• Rex Mann MD PA (Family Health Center)
• Barbara Jean Reyes, PHARMD
• Rhonda Graham M.Ed., LPC

• Optometrist in Perryton, TX
• Providers in Perryton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.