Individual provider Active NPI

Stephanie Christine Schaefer, OD

  • Optometrist
  • Coralville, IA
National Provider Identifier
1629184353
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006018213 Issued in MO
Practice address
1451 Coral Ridge Ave
Suite 104
Coralville, IA 52241-2801
Phone
(319) 354-5185
Fax
(319) 354-4201
NPI assigned
Aug 23, 2006
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006018213 MO Primary

Addresses

Primary practice location

1451 Coral Ridge Ave
Suite 104
Coralville, IA 52241-2801

Mailing address

1451 Coral Ridge Ave
Suite 104
Coralville, IA 52241-2801
Phone (319) 354-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070911000951 IA Practitioner - Optometry 6204833064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Heying and Heying PCGroup PAC ID 0749254092, 5 clinicians

Practice addresses (Care Compare)

4207 Glass Rd NE
Cedar Rapids Eye Care
Cedar Rapids, IA 52402-2514
Phone (316) 366-4455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006018213MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Heying and Heying PC Optometrist CurrentSince Dec 30, 2024 Accepting new patients
Bradley C Parsons OD PC Optometrist CurrentSince Apr 27, 2015 Accepting new patients

Locations

2315 Edgewood Rd SW
Unit 110
Cedar Rapids, IA 52404
Phone (319) 390-4144

4207 Glass Rd NE
Cedar Rapids, IA 52402
Phone (316) 366-4455

1451 Coral Ridge Ave
Ste 104
Coralville, IA 52241
Phone (319) 354-4175

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1629184353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CORAL RIDGE AVE",
            "address_2": "SUITE 104",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412801",
            "telephone_number": "319-354-5185",
            "fax_number": "319-354-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CORAL RIDGE AVE",
            "address_2": "SUITE 104",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412801",
            "telephone_number": "319-354-5185",
            "fax_number": "319-354-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006018213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.