Jeff Stephen Stefanick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003465 Issued in PA

Practice address

50 Berkshire CT
Wyomissing, PA 19610-1219

Phone

(610) 374-3134

Fax

(610) 374-3668

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyomissing Optometric Center, Inc.Group PAC ID 3274427208, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wyomissing Optometric Center, Inc.

  • Optometrist
  • Wyomissing, PA
  • NPI 1366404345
  Medicare reassignment Care Compare group
• Wyomissing Optometric Center, Inc.

  • Optometrist
  • Douglassville, PA
  • NPI 1437348539
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1639658081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134",
            "fax_number": "610-374-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134",
            "fax_number": "610-374-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANICK",
        "first_name": "JEFF",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Stange, RPH
• State Hill Surgicenter LLC
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Cardiology Broadcasting Rd)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Neurology - Broadcasting Rd)
• STC Pediatrics LLC (St Christopher's Pediatric Associates Gastroenterology Broadcasting Rd)
• David F Steffy, M.D.
• Paul Stelmach, M.D.
• Step by Step Pediatric Therapy Inc
• Step by Step Pediatric Therapy Inc
• Willard E Stephens, RPH.

• Optometrist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.

Verify at the official NPI Registry.