Active NPI
Stephen D. Stubits, O.D.
- Optometrist
- Fernandina Beach, FL
National Provider Identifier
1255418976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 990
- Practice address
- 6 South 14TH Street
Fernandina Beach, FL 32034 - Phone
- (904) 261-5741
- Fax
- (904) 261-7383
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 990 | GA | Primary |
Addresses
Primary practice location
6 South 14TH Street
Fernandina Beach, FL 32034
Mailing address
6 South 14TH Street
Fernandina Beach, FL 32034
Phone (904) 261-5741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00261797C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian S Armitage, O.D., P.a. | Past | Accepting new patients | |
| Vision Masters, P.C. | Optometrist | Past | Accepting new patients |
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.
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- NPI 1740207182
-
- Optometrist
- Saint Marys, GA
- NPI 1063693034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1255418976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SOUTH 14TH STREET",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "32034",
"telephone_number": "904-261-5741",
"fax_number": "904-261-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SOUTH 14TH STREET",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "32034",
"telephone_number": "904-261-5741",
"fax_number": "904-261-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBITS",
"first_name": "STEPHEN",
"middle_name": "D.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00261797C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.