Individual provider Active NPI

Stephanie Danean Ray, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1316068067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003310A Issued in IN
Practice address
8930 Keystone Xing
Indianapolis, IN 46240-2179
Phone
(317) 818-3980
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 18003310A IN Primary

Addresses

Primary practice location

8930 Keystone Xing
Indianapolis, IN 46240-2179

Mailing address

13318 Salamone Way
Westfield, IN 46074-8345
Phone (317) 750-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20080602000797 IN Practitioner - Optometry 2466522511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003310AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Lasikplus of Indiana P C Past Accepting new patients

Locations

12513 N Meridian St
Carmel, IN 46032
Phone (317) 575-1133

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

2902 W 86th St
Ste 160
Indianapolis, IN 46268
Phone (317) 228-9163

804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421

17151 Mercantile Blvd
Ste 100
Noblesville, IN 46060
Phone (317) 259-4234

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316068067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13318 SALAMONE WAY",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748345",
            "telephone_number": "317-750-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 KEYSTONE XING",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402179",
            "telephone_number": "317-818-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "STEPHANIE",
        "middle_name": "DANEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003310A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.