Active NPI
Stephen A Statton, ABOC
- Optician
- Lincoln, NE
National Provider Identifier
1326346339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 4645 Normal Blvd
Suite 132
Lincoln, NE 68516 - Phone
- (402) 486-4828
- Fax
- (402) 486-4828
- NPI assigned
- Mar 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
4645 Normal Blvd
Suite 132
Lincoln, NE 68516
Mailing address
4645 Normal Blvd
Suite 132
Lincoln, NE 68506-5588
Phone (402) 486-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081991 | Other | ABOC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1326346339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 NORMAL BLVD",
"address_2": "SUITE 132",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065588",
"telephone_number": "402-486-4828",
"fax_number": "402-486-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 NORMAL BLVD",
"address_2": "SUITE 132",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-486-4828",
"fax_number": "402-486-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATTON",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "ABOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABOC",
"identifier": "081991",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.