Individual provider Active NPI

Stephanie Marie Lozano, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1245679471
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8187T Issued in TX
Practice address
3405 Edloe St Ste 300
Houston, TX 77027-6513
Phone
(713) 797-1500
Fax
(713) 797-1150
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8187T TX Primary

Addresses

Primary practice location

3405 Edloe St Ste 300
Houston, TX 77027-6513

Mailing address

3405 Edloe St
Suite 300
Houston, TX 77027-6520
Phone (713) 797-1500

Other identifiers 1

IdentifierTypeStateIssuer
00646NOtherTXMEDICARE GROUP NUMBER

Other names 1

  • Stephanie Marie McMillen Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130819000405 TX Practitioner - Optometry 1052553245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc R. Sanders, M.D., P.a.Group PAC ID 1850337320, 5 clinicians

Practice addresses (Care Compare)

3405 Edloe St
Suite 300
Houston, TX 77027-6513
Phone (713) 797-1500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

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
Marc R. Sanders, M.D., P.a. Optometrist CurrentSince Jun 20, 2013 Accepting new patients
Marc R Sanders MD PA Optometrist PastSince Jun 20, 2013 Accepting new patients

Locations

3405 Edloe St
Ste 300
Houston, TX 77027
Phone (713) 797-1500

Organizations & group practices 2

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1245679471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276520",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276513",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8187T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00646N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCMILLEN",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.