Active NPI
Steven Downs, OD
- Optometrist
- Villa Park, CA
National Provider Identifier
1619451713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34095
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark a Jury, OD a Optometric Professional Corporation | Optometrist | Past | 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.
-
- Optometrist
- Wildomar, CA
- NPI 1376627000
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.