Individual provider Active NPI

Stephen Corridon Strebel, O.D.

  • Optometrist
  • Westfield, MA
National Provider Identifier
1528060530
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2297 Issued in MA
Practice address
37 Washington St
Westfield, MA 01085-2861
Phone
(413) 562-4304
Fax
(413) 568-5669
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2297 MA Primary

Addresses

Primary practice location

37 Washington St
Westfield, MA 01085-2861

Mailing address

37 Washington St
Westfield, MA 01085-2861
Phone (413) 562-4304

Other identifiers 1

IdentifierTypeStateIssuer
0316164MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2297MAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1528060530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WASHINGTON ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852861",
            "telephone_number": "413-562-4304",
            "fax_number": "413-568-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WASHINGTON ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852861",
            "telephone_number": "413-562-4304",
            "fax_number": "413-568-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREBEL",
        "first_name": "STEPHEN",
        "middle_name": "CORRIDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316164",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.