Active NPI
Stephen R Belanger, O.D.
- Corneal and Contact Management Optometrist
- Toledo, OH
National Provider Identifier
1316942352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3590
- Practice address
- 4240 Secor Rd
Toledo, OH 43623-4238 - Phone
- (419) 475-6605
- Fax
- (419) 475-2017
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3590 | OH | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 3590 | OH |
Addresses
Primary practice location
4240 Secor Rd
Toledo, OH 43623-4238
Mailing address
4240 Secor Rd
Toledo, OH 43623-4238
Phone (419) 475-6605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0504387 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dale G. Lervick, O.D., P.C. | 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.
-
- Optometrist
- Lakewood, CO
- NPI 1306019047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1316942352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234238",
"telephone_number": "419-475-6605",
"fax_number": "419-475-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234238",
"telephone_number": "419-475-6605",
"fax_number": "419-475-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "STEPHEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "3590",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OH",
"license": "3590",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0504387",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.