Individual provider Active NPI

Trevor Lee Steidley, O.D.

  • Optometrist
  • Porterville, CA
National Provider Identifier
1508074006
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10806TPA Issued in CA
Practice address
100 N D St
Porterville, CA 93257-3621
Phone
(775) 750-1362
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10806TPA CA Primary

Addresses

Primary practice location

100 N D St
Porterville, CA 93257-3621

Mailing address

100 N D St
Porterville, CA 93257-3621
Phone (775) 750-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100107000081 CA Practitioner - Optometry 7517983836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trevor Steidley OD 2 clinicians

Practice addresses (Care Compare)

100 N D St
Porterville, CA 93257-3621
Phone (559) 782-0766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Steidley O.D. Optometrist CurrentSince Sep 30, 2009 Accepting new patients
Tule River Indian Health Center, Inc. Past Accepting new patients
Eyezone, Inc. Optometrist PastSince Oct 17, 2005 Accepting new patients

Locations

100 N D St
Porterville, CA 93257
Phone (559) 782-0766

160 S Valencia Blvd
#B
Woodlake, CA 93286
Phone (559) 564-2020

Interoperability endpoints

  • Direct secure messaging: trevor.steidley.p1@direct.trihci.nextgenshare.com

Organizations & group practices 3

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1508074006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "775-750-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "775-750-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDLEY",
        "first_name": "TREVOR",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10806TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.