Stephanie Nicole Emmert, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3346 Issued in OR

Practice address

609 Hickory St NW Ste 160
Albany, OR 97321

Phone

(541) 967-3097

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River View Family Eyecare LLCGroup PAC ID 4385824374, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• River View Family Eyecare, LLC

  • Optometrist
  • Albany, OR
  • NPI 1851601561
  Medicare reassignment Care Compare group
• Reed Eyecare, PC

  dba Silver Falls Eyecare

  • Optometrist
  • Silverton, OR
  • NPI 1194533885
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1396079281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 HICKORY ST NW STE 160",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211766",
            "telephone_number": "541-967-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HICKORY ST NW STE 160",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97321",
            "telephone_number": "541-967-3097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27652 Fern Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sweet Home",
            "state": "OR",
            "postal_code": "973869529",
            "country_code": "US",
            "telephone_number": "541-401-3415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2907",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Elzinga
• Madison Elzinga
• Michael E Emery, CRNA
• Stephanie B J Emery, MD
• Amanda Emmert
• Jeffrey Lee Ericks, RN
• Reuben Chester Ernst, DPT
• Amanda Ervin, RN
• Crystal Marie Eshelman
• Yesenia Espaillat

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.