Organization Active NPI

Defiance Optometric Group Inc

Doing business as Drs. Meffley, Sandy and Stein

  • Optometrist
  • Defiance, OH
National Provider Identifier
1255443792
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DEFIANCE OPTOMETRIC GROUP INC
Doing business as
Drs. Meffley, Sandy and Stein
Practice address
800 N Clinton St
Suite D
Defiance, OH 43512-4610
Phone
(419) 782-1901
Fax
(419) 782-2200
NPI assigned
Aug 31, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Deborah J Stein, O.D.NPI 1588688766
Title
Owner
Phone
(419) 782-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

800 N Clinton St
Suite D
Defiance, OH 43512-4610

Mailing address

800 N Clinton St
Suite D
Defiance, OH 43512-4610
Phone (419) 782-1901

Other identifiers 1

IdentifierTypeStateIssuer
5856506MedicaidOH

Other names 1

  • Drs. Meffley, Sandy and Stein Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050924000208 OH Part B Supplier - Clinic/Group Practice 4789618141 Receives reassigned benefits from 3 practitioners
Practice locations: Defiance, OH
O20100930085176 OH DME Supplier - Physician - Optometrist 4789618141 Practice locations: Defiance, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DRS Meffley, Sandy and Stein800 N Clinton St D, Defiance, OH 43512-4611(419) 782-1901 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

800 N Clinton St
Ste D
Defiance, OH 43512
Phone (419) 782-1901

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1255443792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124610",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124610",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE OPTOMETRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-782-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5856506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Meffley, Sandy and Stein",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs. Meffley, Sandy and Stein",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.