NPIMap

Organization Active NPI

Dr Stephanie McDonald OD LLC

  • Optometrist
  • Washington Court House, OH
National Provider Identifier
1467405100
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR STEPHANIE MCDONALD OD LLC
Practice address
7 Commercial Ave
Washington Court House, OH 43160-2166
Phone
(740) 335-1181
Fax
(740) 335-1182
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Mrs. Beth Stinson
Title
Office Manager
Phone
(740) 335-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7 Commercial Ave
Washington Court House, OH 43160-2166

Mailing address

7 Commercial Ave
Washington Court House, OH 43160-2166
Phone (740) 335-1181

Other names 2

  • Fayette EyeCare Doing business as
  • Dr Jason Pittser and Dr Stephanie McDonald Optometric Partnership Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060612000044 OH Part B Supplier - Clinic/Group Practice 2668484668 Receives reassigned benefits from 5 practitioners
Practice locations: Washington Court House, OH

National Provider Directory

National Provider Directory

Locations

7 Commercial Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1181

212 N Fayette St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1181

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1467405100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMERCIAL AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602166",
            "telephone_number": "740-335-1181",
            "fax_number": "740-335-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMERCIAL AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602166",
            "telephone_number": "740-335-1181",
            "fax_number": "740-335-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHANIE MCDONALD OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-335-1181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette EyeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Jason Pittser and Dr Stephanie McDonald Optometric Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.