Individual provider Active NPI

Stephen M Purdy, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1588951669
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7817T Issued in TX
Practice address
1400 Common Dr
El Paso, TX 79936-5922
Phone
(915) 595-4375
Fax
(915) 595-4460
NPI assigned
Jul 8, 2011
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7817T TX Primary

Addresses

Primary practice location

1400 Common Dr
El Paso, TX 79936-5922

Mailing address

1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 595-4375

Other identifiers 1

IdentifierTypeStateIssuer
7817TGOtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110913000789 TX Practitioner - Optometry 9436320942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Practice addresses (Care Compare)

1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 595-4375

9235 Dyer St
El Paso, TX 79924-6419
Phone (915) 267-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
80.36
Promoting interoperability
99
Improvement activities
40
Cost
84.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7817TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Ellman, M.D., P.a. CurrentSince Jun 27, 2011 Accepting new patients
Southwest Eye Institute, Inc. Past Accepting new patients

Locations

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020

Interoperability endpoints

  • Direct secure messaging: stephen.purdy.p26@direct.avp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1588951669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMMON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365922",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMMON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365922",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7817T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7817TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.