Individual provider Active NPI

Stephen R Kepley, O.D.

  • Optometrist
  • Vero Beach, FL
National Provider Identifier
1235167412
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1937 Issued in FL
Practice address
1960 25TH Ave
Suite 102
Vero Beach, FL 32960-3063
Phone
(772) 567-5102
Fax
(772) 567-5648
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 1937 FL Primary

Addresses

Primary practice location

1960 25TH Ave
Suite 102
Vero Beach, FL 32960-3063

Mailing address

1960 25TH Ave
Suite 102
Vero Beach, FL 32960-3063
Phone (772) 567-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101209000332 FL Practitioner - Optometry 6204940901 Reassigns benefits to 1 organization
Practice locations: Vero Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1960 25TH Ave
Suite 102
Vero Beach, FL 32960-3015
Phone (772) 567-5102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Eye Associates, LLC Optometrist CurrentSince May 1, 2020 Accepting new patients

Locations

1960 25th Ave
Ste 102
Vero Beach, FL 32960
Phone (407) 567-5102

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1235167412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 25TH AVE",
            "address_2": "SUITE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603063",
            "telephone_number": "772-567-5102",
            "fax_number": "772-567-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 25TH AVE",
            "address_2": "SUITE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603063",
            "telephone_number": "772-567-5102",
            "fax_number": "772-567-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLEY",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.