Individual provider Active NPI

Steven J. Simpson, O.D.

  • Optometrist
  • Hemet, CA
National Provider Identifier
1508880030
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD0093610T Issued in CA
Practice address
41705 State Highway 74
Hemet, CA 92544-4948
Phone
(951) 652-2020
Fax
(951) 766-4933
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD0093610T CA Primary

Addresses

Primary practice location

41705 State Highway 74
Hemet, CA 92544-4948

Mailing address

41705 State Highway 74
Hemet, CA 92544-4948
Phone (951) 652-2020

Other identifiers 2

IdentifierTypeStateIssuer
0493626MedicaidCA
3894840001OtherCADME#

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
I20091222000200 CA Practitioner - Optometry 5597804385 Practice locations: Hemet, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41705 Florida Ave
Hemet, CA 92544-4948
Phone (951) 652-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD0093610TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J. Simpson OD & Thomas R. Scruggs OD Optometrist Past Accepting new patients
Steven J Simpson O D and Bradley N Sirois O D PTRS Optometrist Past Accepting new patients

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508880030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41705 STATE HIGHWAY 74",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444948",
            "telephone_number": "951-652-2020",
            "fax_number": "951-766-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41705 STATE HIGHWAY 74",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444948",
            "telephone_number": "951-652-2020",
            "fax_number": "951-766-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0093610T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493626",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME#",
            "identifier": "3894840001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.