Active NPI
Stefanie A. Hurst, O.D.
- Optometrist
- Savage, MN
National Provider Identifier
1447275284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2777
- Practice address
- 4200 County Road 42 W
Savage, MN 55378-4051 - Phone
- (952) 895-5434
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2777 | MN | Primary |
Addresses
Primary practice location
4200 County Road 42 W
Savage, MN 55378-4051
Mailing address
4200 County Road 42 W
Savage, MN 55378-4051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061M9FA | Other | MN | BCBS |
| 31388 | Other | MN | HEALTH PARTNERS |
| 407231025417 | Other | MN | PREFERRED ONE |
| 22-01792 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Illinois College of Optometry at Chicago, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 W County Rd
Suite 42
Savage, MN 55378-4051
Phone (952) 895-5434
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision Clinic, P.C. | Optometrist | Current | Accepting new patients |
| Family Vision Clinic of Farmington | Optometrist | Past | Accepting new patients |
| Focused Eye Care, PA | Optometrist | Past | Accepting new patients |
Locations
4200 W County Road 42
Savage, MN 55378
Phone (952) 895-5434
4200 W County Road 42
Ste 300
Savage, MN 55378
Organizations & group practices 3
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
- Savage, MN
- NPI 1922291475
-
- Optometrist
- Farmington, MN
- NPI 1275725277
-
- Optometrist
- Lakeville, MN
- NPI 1538200787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447275284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 COUNTY ROAD 42 W",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 COUNTY ROAD 42 W",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784051",
"telephone_number": "952-895-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "STEFANIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "061M9FA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "31388",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "407231025417",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "22-01792",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.