Individual provider Active NPI

Stephen Joe Healey, O.D.

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1285784355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9715 Issued in CA
Practice address
363 Town Ctr E
Santa Maria Town Center Space G-73
Santa Maria, CA 93454-5159
Phone
(805) 922-6118
Fax
(805) 922-0139
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9715 CA Primary

Addresses

Primary practice location

363 Town Ctr E
Santa Maria Town Center Space G-73
Santa Maria, CA 93454-5159

Mailing address

14006 Riverside Dr
Space 274
Sherman Oaks, CA 91423-1945
Phone (818) 461-0635

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

LicenseStateTypeSpecialty
OPT 9715CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Past Accepting new patients

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285784355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR",
            "address_2": "SPACE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231945",
            "telephone_number": "818-461-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 TOWN CTR E",
            "address_2": "SANTA MARIA TOWN CENTER SPACE G-73",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545159",
            "telephone_number": "805-922-6118",
            "fax_number": "805-922-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "STEPHEN",
        "middle_name": "JOE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.