Individual provider Active NPI

Shannon L Steinhauser, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1447255310
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1029 Issued in AZ
Practice address
3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032-2105
Phone
(602) 549-2020
Fax
(602) 325-5536
NPI assigned
Jun 16, 2005
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1029 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032-2105

Mailing address

3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032-2105
Phone (602) 549-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20050813000099 AZ Practitioner - Optometry 3173553856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Eye Care PLLCGroup PAC ID 3870738727, 3 clinicians

Practice addresses (Care Compare)

3805 E Bell Rd
Suite 1800
Phoenix, AZ 85032-2135
Phone (602) 549-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Eye Care PLLC Optometrist CurrentSince Jan 15, 2013 Accepting new patients
Prime Eye Care PC Optometrist Past Accepting new patients

Locations

3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032
Phone (602) 549-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1447255310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "602-549-2020",
            "fax_number": "602-325-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "602-549-2020",
            "fax_number": "602-325-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINHAUSER",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.