Larry R Steedly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1806 Issued in NC

Practice address

4601 Ramsey St
Fayetteville, NC 28311-2138

Phone

(910) 488-4674

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Steedly Optometric Associates PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1447316286
  NPD (past) Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1306883095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 STEDMAN CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127598",
            "telephone_number": "910-964-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112138",
            "telephone_number": "910-488-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEDLY",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093R8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Capen Stearns, CRNA
• Stedman - Wade Health Services, Inc
• Stedman Wade Health Services, Inc
• Stedman-Wade Health Services, Inc.
• Steedly Optometric Associates PA
• Jessie Steele
• Natalia Sopiarz Steele, DO
• Sean Gregory Steele, LCSW
• Matthew John Steeno, RRT
• Casey Steffen

• Optometrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.