Active NPI
Tania Stevens, O.D.
- Optometrist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12072
- Practice address
- 5724 E 7TH St
Long Beach, CA 90803-2002 - Phone
- (562) 986-6373
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12072 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 12072 | CA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 12072 | CA | |
| Pediatric Optometrist | 152WP0200X | 12072 | CA | |
| Sports Vision Optometrist | 152WS0006X | 12072 | CA | |
| Vision Therapy Optometrist | 152WV0400X | 12072 | CA |
Addresses
Primary practice location
5724 E 7TH St
Long Beach, CA 90803-2002
Mailing address
5724 E 7TH St
Long Beach, CA 90803-2002
Phone (562) 986-6373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01899994 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2673 Via de la Valle
Suite F
Del Mar, CA 92014-1912
Phone (858) 755-9465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tania Stevens Optometrist PC | Optometrist | Current | Accepting new patients |
| Wink Optometry del Mar Inc | Optometrist | Current | Accepting new patients |
| Michael P de Carlo Optometrist Inc | Low Vision Rehabilitation | Past | Accepting new patients |
| Sophie Poselle, Optometrist, P.C. | Optometrist | Past | Accepting new patients |
Locations
2673 Via de la Valle
Ste F
Del Mar, CA 92014
Phone (858) 454-4699
5724 E 7th St
Long Beach, CA 90803
Phone (562) 986-6373
12925 El Camino Real
Ste 203
San Diego, CA 92130
Phone (858) 348-5900
2365 Boston Post Rd
Ste 202
Larchmont, NY 10538
Phone (914) 834-2020
Organizations & group practices 4
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.
-
- Optometrist
- Del Mar, CA
- NPI 1467907899
-
- Eyewear Supplier
- Placentia, CA
- NPI 1336351998
Low Vision Rehabilitation
-
dba Larchmont Eye Associates
- Optometrist
- Larchmont, NY
- NPI 1770855108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1427089630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908032002",
"telephone_number": "562-986-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5724 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908032002",
"telephone_number": "562-986-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "TANIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12072",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "12072",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "12072",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "12072",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "12072",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "12072",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01899994",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.