Individual provider Active NPI

Stephanie Lynn Thier, O.D.

  • Optometrist
  • Worthington, MN
National Provider Identifier
1215004551
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
594 Issued in SD
Practice address
1607 McMillan St
Worthington, MN 56187-2802
Phone
(507) 727-3937
Fax
(507) 727-3939
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 594 SD Primary

Addresses

Primary practice location

1607 McMillan St
Worthington, MN 56187-2802

Mailing address

1607 McMillan St
Worthington, MN 56187-2802
Phone (507) 727-3937

Other identifiers 2

IdentifierTypeStateIssuer
9203300MedicaidSD
9203302MedicaidSD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100127000390 MN Practitioner - Optometry 2567455934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1607 McMillan St
Suite 1
Worthington, MN 56187-2806
Phone (507) 727-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specnique by Stephanie Thier OD PC Optometrist CurrentSince Dec 1, 2003 Accepting new patients

Locations

1607 McMillan St
Ste 1
Worthington, MN 56187
Phone (507) 372-2120

1607 McMillan St
Worthington, MN 56187
Phone (507) 727-3937

1850 W Empire Mall
Sioux Falls, SD 57106
Phone (605) 361-9833

1616 S Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 331-4273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1215004551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872802",
            "telephone_number": "507-727-3937",
            "fax_number": "507-727-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 MCMILLAN ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872802",
            "telephone_number": "507-727-3937",
            "fax_number": "507-727-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203300",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203302",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.