Stephen Scott Fleck, OD
Individual provider Active NPI Optometrist · Wapakoneta, OH
NPI 1700822129 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1700822129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4102 (OH)
- Practice address
- 5 West Auglaize St
Wapakoneta, OH 45895 - Phone
- (419) 738-3800
- Fax
- (419) 738-3899
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
916 W Plum St
Wapakoneta, OH 45895-1853
Phone (419) 738-3800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000627 | OH | Practitioner - Optometry | 4183749138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4102 | OH | MD | Optometrist |
| T862 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wapak Vision Center Inc | Optometrist | Current |
Accepting new patients |
| Stephen S Fleck | Optometrist | Past |
Accepting new patients |
Locations
5 W Auglaize St
Wapakoneta, OH 45895
Phone (419) 738-3800
916 W Plum St
Wapakoneta, OH 45895
Phone (419) 738-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T862 | OH | |
| Optometrist | 152W00000X | 4102 | OH | Yes |
Addresses
Primary practice location
5 West Auglaize St
Wapakoneta, OH 45895
Mailing address
916 W Plum St
Wapakoneta, OH 45895-1853
Phone (419) 738-3800
Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.