Individual provider Active NPI

Ashley Jadene Stevens, O.D.

  • Optometrist
  • South Yarmouth, MA
National Provider Identifier
1508219080
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5142 Issued in MA
Practice address
279 Station Ave
South Yarmouth, MA 02664-1842
Phone
(508) 398-6333
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5142 MA Primary

Addresses

Primary practice location

279 Station Ave
South Yarmouth, MA 02664-1842

Mailing address

279 Station Ave
South Yarmouth, MA 02664-1842
Phone (508) 398-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160909000813 MA Practitioner - Optometry 8921394420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Eye Care Associates PLLCGroup PAC ID 1759866361, 2 clinicians
Sheinkopf and Tomasik Eye Care AssociatesGroup PAC ID 4587724521, 2 clinicians

Practice addresses (Care Compare)

279 Station Ave
S Yarmouth, MA 02664-1842
Phone (508) 398-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheinkopf and Tomasik Eye Care Associates Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Stevens Eye Care Associates PLLC Optometrist Current Accepting new patients

Locations

279 Station Ave
South Yarmouth, MA 02664
Phone (508) 398-6333

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1508219080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641842",
            "telephone_number": "508-398-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641842",
            "telephone_number": "508-398-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ASHLEY",
        "middle_name": "JADENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.