Individual provider Active NPI

Steven Mark Meyers, OD

  • Optometrist
  • Prescott, AZ
National Provider Identifier
1467410225
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
530 Issued in AZ
Practice address
1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1607
Phone
(928) 445-1341
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 530 AZ Primary

Addresses

Primary practice location

1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1607

Mailing address

1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1607
Phone (928) 445-1341

Other identifiers 1

IdentifierTypeStateIssuer
037102MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100825001057 AZ Practitioner - Optometry 5597889667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rummel Eye Care, P.C.Group PAC ID 7618865841, 5 clinicians

Practice addresses (Care Compare)

1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1609
Phone (928) 445-1341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
530AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rummel Eye Care, P.C. CurrentSince Sep 1, 1982 Accepting new patients
Rummel Eye Care, P.C. Past Accepting new patients

Locations

1022 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1341

1022 Willow Creek Rd
Ste 200
Prescott, AZ 86301
Phone (520) 445-1341

2517 N Great Western Dr
Ste I
Prescott Valley, AZ 86314
Phone (928) 772-6246

Organizations & group practices 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1467410225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037102",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.