Steedly Optometric Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1806 Issued in NC

Legal business name

STEEDLY OPTOMETRIC ASSOCIATES PA

Practice address

3725 Ramsey St
Fayetteville, NC 28311-7651

Phone

(910) 488-4674

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Larry R Steedly, O.D.NPI 1306883095

Title

President

Phone

(910) 964-5407

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry R Steedly, O.D.

  • Optometrist
  • Fayetteville, NC
  • NPI 1306883095
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1447316286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7298 THOR LN",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919659",
            "telephone_number": "910-964-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117651",
            "telephone_number": "910-488-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEDLY OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "STEEDLY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-964-5407",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093R8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alayshia Shanta' Steadman-Barr, LMSW, LCSWA
• Karen Capen Stearns, CRNA
• Stedman - Wade Health Services, Inc
• Stedman Wade Health Services, Inc
• Stedman-Wade Health Services, Inc.
• Larry R Steedly, O.D.
• Jessie Steele
• Natalia Sopiarz Steele, DO
• Sean Gregory Steele, LCSW
• Matthew John Steeno, RRT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.