Individual provider Active NPI

Steven B Stiles, O.D.

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1699747568
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2253 Issued in AR
Practice address
2401 S Waldron Rd
Fort Smith, AR 72903-3736
Phone
(479) 452-2020
Fax
(479) 452-4759
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2253 AR Primary

Addresses

Primary practice location

2401 S Waldron Rd
Fort Smith, AR 72903-3736

Mailing address

2401 S Waldron Rd
Fort Smith, AR 72903-3736
Phone (479) 452-2020

Other identifiers 2

IdentifierTypeStateIssuer
105798722MedicaidAR
49372OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110208000463 AR Practitioner - Optometry 6103901343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Steven B Stiles PAGroup PAC ID 1355715293, 2 clinicians

Practice addresses (Care Compare)

2401 S Waldron Rd
Fort Smith, AR 72903-3736
Phone (479) 452-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2253ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Steven B Stiles PA Optometrist CurrentSince Oct 5, 2022 Accepting new patients

Locations

2401 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 452-2020

Organizations & group practices 1

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1699747568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033736",
            "telephone_number": "479-452-2020",
            "fax_number": "479-452-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033736",
            "telephone_number": "479-452-2020",
            "fax_number": "479-452-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105798722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49372",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.