Stephanie Uggen

Primary specialty

OptometristTaxonomy code 152W00000X

License

4503 Issued in OR

Practice address

1160 W Elm Ave
Hermiston, OR 97838-6933

Phone

(541) 567-6623

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Indiana University - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Oregon Professional LLCGroup PAC ID 5092156364, 11 clinicians

David a Drotzmann OD PCGroup PAC ID 5193717635, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• David a Drotzmann OD PC

  • Optometrist
  • Hermiston, OR
  • NPI 1487838157
  Medicare reassignment Care Compare group NPD
• Aeg Oregon Professional LLC

  • Optometrist
  • Salem, OR
  • NPI 1679253397
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1215562160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W ELM AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386933",
            "telephone_number": "541-567-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W ELM AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386933",
            "telephone_number": "541-567-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGGEN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Nicole Tueller, PA
• Nu Nwe Tun, MD
• David Turnbull
• Floyd Arnold Turnbull, DC
• Bradley Tymchuk, M.D.
• Umatilla County Fire District Number 1
• Destiny Michelle Valdovino, RN
• Juan Sebastian Valencia
• Rosanna D Valet
• George K Varughese, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.