Zachery Taylor Stephenson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

C-251632545 Issued in NC

Practice address

208 Smith Ave,
Shallotte, NC 28470

Phone

(910) 754-2020

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

University of Pikeville, Kentucky College of Osteopathic Med, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southport Eye Care,OD, PLLCGroup PAC ID 5991285264, 3 clinicians

Dr. Christopher J. Moshoures Optometrist PAGroup PAC ID 5193882603, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zstephenson@visionsquare.eyefinity-direct.com

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.

• Southport Eye Care OD PLLC

  • Optometrist
  • Southport, NC
  • NPI 1427929876
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Christopher J. Moshoures Optometrist PA

  • Optometrist
  • Shallotte, NC
  • NPI 1093768012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1427774108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NUTT ST APT 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014372",
            "telephone_number": "919-464-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SMITH AVE,",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28470",
            "telephone_number": "910-754-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ZACHERY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "C-251632545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Healthcare Centers PC
• Southeastern United Care LLC
• Jenna Leander Spell, PHARMD
• Sarah Spell, LCSWA, LCASA
• Jacob David Spring, DPT
• Stoldaddy Inc. (Lundy Chiropractic and Rehab)
• Heather Shannon Stoume Stoume, MSW, LCSW, LCAS,
• Jenna Strickland, PT
• Carmen Michelle Suedmeier, RPH
• Sunshine Company Home Care LLC

• Optometrist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.