Active NPI
Stephen Lee Hankinson, O.D.
- Optometrist
- Midland, TX
National Provider Identifier
1396805123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3346TG
- Practice address
- 3415 Andrews Hwy
Midland, TX 79703-5149 - Phone
- (432) 689-0444
- Fax
- (432) 699-0937
- NPI assigned
- Dec 11, 2006
- Last updated
- Jun 13, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3346TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3346TG | TX | |
| Pediatric Optometrist | 152WP0200X | 3346TG | TX | |
| Sports Vision Optometrist | 152WS0006X | 3346TG | TX |
Addresses
Primary practice location
3415 Andrews Hwy
Midland, TX 79703-5149
Mailing address
3415 Andrews Hwy
Midland, TX 79703-5149
Phone (432) 689-0444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805123 | Medicaid | TX | |
| 112292105 | Medicaid | TX | |
| 81446Q | Other | TX | BCBS |
| 112292104 | Medicaid | TX | |
| 1528115185 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3415 Andrews Hwy
Midland, TX 79703-5149
Phone (432) 689-0444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3346TG | TX | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams West Inc | Current | Accepting new patients | |
| Suresh N Gadasalli M D P a | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Midland, TX
- NPI 1487711867
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Healthy Heart Center
- Cardiovascular Disease Physician
- Odessa, TX
- NPI 1427050780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1396805123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 ANDREWS HWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797035149",
"telephone_number": "432-689-0444",
"fax_number": "432-699-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 ANDREWS HWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797035149",
"telephone_number": "432-689-0444",
"fax_number": "432-699-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKINSON",
"first_name": "STEPHEN",
"middle_name": "LEE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3346TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "3346TG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "3346TG",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "3346TG",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396805123",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112292105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "81446Q",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112292104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528115185",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.