Bryan Keith Stephens, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1800-2579 Issued in IN

Practice address

1722 Bashor Rd
Goshen, IN 46526-1302

Phone

(574) 533-4141

Fax

(574) 534-2278

NPI assigned

Dec 7, 2005

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Cripe, Stephens and Stickel LLPGroup PAC ID 4981665874, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DRS. Cripe, Stephens & Stickel LLP

  • Optometrist
  • Goshen, IN
  • NPI 1134323678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1457336927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261302",
            "telephone_number": "574-533-4141",
            "fax_number": "574-534-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261302",
            "telephone_number": "574-533-4141",
            "fax_number": "574-534-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "1800-2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykenzie Stanley
• Rachael Stark, BCBA
• Michelle Stearns
• Catherine Ann Steinkamp, NP
• Stephen Szynal DO
• Darial Sterling
• Toni Stevenson
• Autumn Stewart
• James Stefan Stickel, O.D., M.S.
• Glenn B Stoltzfus, M.D.

• Optometrist in Goshen, IN
• Providers in Goshen, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.

Verify at the official NPI Registry.