Individual provider Active NPI

Stephen P Byrnes, O D

  • Optometrist
  • Londonderry, NH
National Provider Identifier
1245379924
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
334 Issued in NH
Practice address
80 Nashua Road
Londonderry, NH 03053
Phone
(603) 434-4449
Fax
(603) 432-6059
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 334 NH Primary
Optometrist 152W00000X 2643 MA

Addresses

Primary practice location

80 Nashua Road
Londonderry, NH 03053

Mailing address

PO Box 579
80 Nashua Road
Londonderry, NH 03053-0579
Phone (603) 434-4449

Other identifiers 1

IdentifierTypeStateIssuer
2284OtherNHIDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20060509000851 NH Practitioner - Optometry 5294746905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Nashua Rd
Londonderry, NH 03053-3426
Phone (603) 434-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
334NHMDClinical Psychologist
2643MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P. Byrnes, O.D. Optometrist CurrentSince Aug 14, 2000 Accepting new patients

Locations

80 Nashua Rd
Londonderry, NH 03053
Phone (603) 434-4449

Interoperability endpoints

  • Direct secure messaging: stephen.byrnes@direct.revolutionehr.com

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1245379924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "address_2": "80 NASHUA ROAD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030530579",
            "telephone_number": "603-434-4449",
            "fax_number": "603-432-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NASHUA ROAD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "603-434-4449",
            "fax_number": "603-432-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "334",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION NUMBER",
            "identifier": "2284",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.