Individual provider Active NPI

Stephen H Eap, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1437273695
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10107T Issued in CA
Practice address
6541 E Spring St
Long Beach, CA 90808-4023
Phone
(562) 496-3365
Fax
(562) 496-2764
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10107T CA Primary

Addresses

Primary practice location

6541 E Spring St
Long Beach, CA 90808-4023

Mailing address

6541 E Spring St
Long Beach, CA 90808-4023
Phone (562) 496-3365

Other identifiers 1

IdentifierTypeStateIssuer
1437273695OtherCATRIWEST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT10107TCAMDOptometrist
10107CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eap Optometry Optometrist PastSince Aug 24, 1994 Accepting new patients

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1437273695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084023",
            "telephone_number": "562-496-3365",
            "fax_number": "562-496-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084023",
            "telephone_number": "562-496-3365",
            "fax_number": "562-496-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAP",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10107T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "1437273695",
            "state": "CA"
        }
    ],
    "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 31, 2008; 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.