Individual provider Active NPI

Stephanie Jean Thai-Fernandez, OD

  • Optometrist
  • Whitehall, PA
National Provider Identifier
1346971967
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003894 Issued in PA
Practice address
2584 Macarthur Rd
Whitehall, PA 18052
Phone
(610) 289-6730
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003894 PA Primary

Addresses

Primary practice location

2584 Macarthur Rd
Whitehall, PA 18052

Mailing address

316 Park Ave
Harleysville, PA 19438-1814
Phone (703) 899-5145

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OEG003894PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses PastSince Jun 26, 2022 Accepting new patients
National Vision, Inc. PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 2

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1346971967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 PARK AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381814",
            "telephone_number": "703-899-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 MACARTHUR RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "18052",
            "telephone_number": "610-289-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI-FERNANDEZ",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.