Individual provider Active NPI

Stefie Ribeiro, O.D

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1548422207
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14851TLG Issued in CA
Practice address
46660 Washington St Ste 3
La Quinta, CA 92253-2451
Phone
(760) 564-9944
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007291 NY
Optometrist 152W00000X 14851TLG CA Primary

Addresses

Primary practice location

46660 Washington St Ste 3
La Quinta, CA 92253-2451

Mailing address

46660 Washington St Ste 3
La Quinta, CA 92253-2451
Phone (760) 564-9944

Other practice location 1

1180 N Indian Canyon Dr Ste 130
Palm Springs, CA 92262-4857
Phone (760) 320-7051

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
I20141013001399 CA Practitioner - Optometry 8123174752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stefie Ribeiro O D Prof CorpGroup PAC ID 4082970769, 2 clinicians

Practice addresses (Care Compare)

46660 Washington St
Suite 3
La Quinta, CA 92253-2451
Phone (760) 564-9944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14851TLGCAMDOptometrist
007291NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stefie Ribeiro O.D, Prof. Corp Optometrist CurrentSince Nov 4, 2017 Accepting new patients

Locations

46660 Washington St
Ste 3
La Quinta, CA 92253
Phone (760) 564-2113

Organizations & group practices 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548422207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46660 WASHINGTON ST STE 3",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532451",
            "telephone_number": "760-564-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46660 WASHINGTON ST STE 3",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532451",
            "telephone_number": "760-564-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624857",
            "country_code": "US",
            "telephone_number": "760-320-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "STEFIE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007291",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14851TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.