Individual provider Active NPI

Deborah J Stein, O.D.

  • Optometrist
  • Defiance, OH
National Provider Identifier
1588688766
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5661 Issued in OH
Practice address
800 N Clinton St
Suite D
Defiance, OH 43512-4610
Phone
(419) 782-1901
Fax
(419) 782-2200
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 5661 OH Primary

Addresses

Primary practice location

800 N Clinton St
Suite D
Defiance, OH 43512-4610

Mailing address

800 N Clinton St
Suite D
Defiance, OH 43512-4611
Phone (419) 782-1901

Other identifiers 1

IdentifierTypeStateIssuer
2700581MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060911000181 OH Practitioner - Optometry 9133123938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Defiance Optometric Group IncGroup PAC ID 4789618141, 3 clinicians

Practice addresses (Care Compare)

800 N Clinton St
Suite D
Defiance, OH 43512-4611
Phone (419) 782-1901

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5661OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Defiance Optometric Group Inc Optometrist CurrentSince Jul 31, 2006 Accepting new patients

Locations

800 N Clinton St
Ste D
Defiance, OH 43512
Phone (419) 782-1901

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1588688766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124611",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124610",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.