Individual provider Active NPI

Steven Downs, OD

  • Optometrist
  • Villa Park, CA
National Provider Identifier
1619451713
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34095 Issued in CA
Practice address
17829 Santiago Blvd
Villa Park, CA 92861-4133
Phone
(714) 998-6610
Fax
(714) 998-3275
NPI assigned
Sep 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34095 CA Primary

Addresses

Primary practice location

17829 Santiago Blvd
Villa Park, CA 92861-4133

Mailing address

17829 Santiago Blvd
Villa Park, CA 92861-4133
Phone (714) 998-6610

Other practice location 1

5701 E Santa Ana Canyon Rd Ste H
Anaheim, CA 92807-3231
Phone (714) 998-8710

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
I20190125001958 CA Practitioner - Optometry 6002153202 Practice locations: Villa Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17289 Santiago Blvd
Karen Walker
Villa Park, CA 92861-4133

17829 Santiago Blvd
Villa Park, CA 92861-4133
Phone (714) 998-6610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Jury, OD a Optometric Professional Corporation Optometrist PastSince Feb 19, 2019 Accepting new patients
St Jude Hospital Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1619451713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17829 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-998-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17829 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-998-6610",
            "fax_number": "714-998-3275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 E Santa Ana Canyon Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928073231",
            "country_code": "US",
            "telephone_number": "714-998-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, CA

Sources for this page

Verify at the official NPI Registry.