Stephanie Truong Slagel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT34753 Issued in CA

Practice address

849 S Shenandoah St Apt 110
Los Angeles, CA 90035-1769

Phone

(316) 312-5362

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1285223271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S SHENANDOAH ST APT 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351769",
            "telephone_number": "316-312-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S SHENANDOAH ST APT 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351769",
            "telephone_number": "316-312-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGEL",
        "first_name": "STEPHANIE",
        "middle_name": "TRUONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Ann Slade-Tucker
• Candace Slade
• Jonathan Khristopher Slade, FNP
• Jacob Slaffey, PTA
• Jordan Ashanti Ruvenest Slaffey
• Martha Louise Slagerman, PH.D., PSY.D.
• Deann Slaise, MSW, PPS
• Harry Lee Slajer Jr., PA
• Jimmy S Slamat, D.D.S.
• Dennis Joseph Slamon, MD

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.