Active NPI
Stephanie Andree Gerard, O.D.
- Optometrist
- Irving, TX
National Provider Identifier
1619301736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8224TG
- Practice address
- 7457 Las Colinas Blvd Ste 100
Irving, TX 75063-7561 - Phone
- (214) 382-3061
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8224TG | TX | Primary |
Addresses
Primary practice location
7457 Las Colinas Blvd Ste 100
Irving, TX 75063-7561
Mailing address
7457 Las Colinas Blvd
100
Irving, TX 75063-7561
Phone (214) 382-3061
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8224 | TX | MD | Behavioral Analyst |
| 8224TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1619301736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7457 LAS COLINAS BLVD",
"address_2": "100",
"city": "IRVING",
"state": "TX",
"postal_code": "750637561",
"telephone_number": "214-382-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7457 LAS COLINAS BLVD STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750637561",
"telephone_number": "214-382-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "STEPHANIE",
"middle_name": "ANDREE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8224TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.