Individual provider Active NPI

Stephanie Helm Fleming, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1457574576
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5703TG Issued in TX
Practice address
5442 La Sierra Dr
Dallas, TX 75231-4108
Phone
(214) 828-9900
Fax
(214) 828-9900
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 5703TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 5703T TX
Optometrist 152W00000X 5703TG TX Primary

Addresses

Primary practice location

5442 La Sierra Dr
Dallas, TX 75231-4108

Mailing address

5442 La Sierra Dr
Dallas, TX 75231-4108
Phone (214) 828-9900

Other identifiers 1

IdentifierTypeStateIssuer
038410901MedicaidTX

Other names 1

  • Dr. Stephanie Suzanne Helm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140528001382 TX Practitioner - Optometry 7315102449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas ServicesGroup PAC ID 9830089846, 3 clinicians

Practice addresses (Care Compare)

5442 La Sierra Dr
Dallas, TX 75231-4108
Phone (214) 828-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5703TTXMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Services Optometrist CurrentSince Apr 8, 2014 Accepting new patients

Locations

3717 W Camp Wisdom Rd
Dallas, TX 75237
Phone (214) 828-4600

4242 Office Pkwy
Dallas, TX 75204
Phone (214) 828-9900

5442 La Sierra Dr
Dallas, TX 75231
Phone (214) 328-9900

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1457574576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "STEPHANIE",
        "middle_name": "HELM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "5703TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "5703T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5703TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038410901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HELM",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.