Individual provider Active NPI

Chelsea B Stebel, O.D.

  • Optometrist
  • Astoria, OR
National Provider Identifier
1659750198
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3601ATI Issued in OR
Practice address
553 18TH St
Astoria, OR 97103-3505
Phone
(503) 325-4401
Fax
(503) 325-4449
NPI assigned
May 28, 2015
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60560938 WA
Optometrist 152W00000X 3601ATI OR Primary

Addresses

Primary practice location

553 18TH St
Astoria, OR 97103-3505

Mailing address

553 18TH St
Astoria, OR 97103-3505
Phone (479) 276-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150922002610 OR Practitioner - Optometry 0446566525 Reassigns benefits to 1 organization
I20200307000108 IA Practitioner - Optometry 0446566525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodland Eye Clinic PCGroup PAC ID 4486883998, 5 clinicians

Practice addresses (Care Compare)

104 N Walnut St
Woodland Eye Clinic
West Union, IA 52175-1418
Phone (563) 422-6085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3601ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Eye Clinic, PC Optometrist CurrentSince Nov 2, 2021 Accepting new patients
Woodland Eye Clinic, PC Optometrist CurrentSince Nov 2, 2021 Accepting new patients
Darren L Thorsen OD Optometrist CurrentSince Aug 31, 2015 Accepting new patients

Locations

202 S Main St
Elkader, IA 52043
Phone (563) 245-2304

104 N Walnut St
West Union, IA 52175
Phone (563) 422-5629

553 18th St
Astoria, OR 97103
Phone (503) 325-3661

819 S Holladay Dr
Seaside, OR 97138
Phone (503) 610-1025

1703 Pacific Ave S
Long Beach, WA 98631
Phone (360) 642-3214

Organizations & group practices 3

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1659750198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 18TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033505",
            "telephone_number": "479-276-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 18TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033505",
            "telephone_number": "503-325-4401",
            "fax_number": "503-325-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBEL",
        "first_name": "CHELSEA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60560938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3601ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.