Individual provider Active NPI

Steven Roy Warstadt, O.D.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1447339833
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1152 Issued in GA
Practice address
226 W Broughton St
Savannah, GA 31401-3214
Phone
(678) 863-7286
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1152 GA Primary

Addresses

Primary practice location

226 W Broughton St
Savannah, GA 31401-3214

Mailing address

11 Pondhawk Rd
Bluffton, SC 29909-7056
Phone (678) 863-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240119001985 SC Practitioner - Optometry 6305917667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Eyecare Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

890 William Hilton Pkwy
Ste 93
Hilton Head Island, SC 29928
Phone (843) 681-2020

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1447339833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PONDHAWK RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097056",
            "telephone_number": "678-863-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W BROUGHTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013214",
            "telephone_number": "678-863-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSTADT",
        "first_name": "STEVEN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.