Thomas Dale Stevens, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

910 Issued in CO

Practice address

1100 Main Street
Fort Morgan, CO 80701-4030

Phone

(970) 867-3046

Fax

(970) 867-3046

NPI assigned

Mar 14, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fort Morgan Eye Care LLC

  • Clinic/Center
  • Fort Morgan, CO
  • NPI 1093229718
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1700910833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN STREET",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807014030",
            "telephone_number": "970-867-3046",
            "fax_number": "970-867-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN STREET",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807014030",
            "telephone_number": "970-867-3046",
            "fax_number": "970-867-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "THOMAS",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08009102",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steiner Sils, LLC
• Julie Ann Stender, COTA/L
• Stephen E Godar MD PC
• Leif Allen Stephens, D.C.
• Benjamin David Stephenson, MD
• Alessandra Storey
• David Allen Strand, RPH
• Jody Strouse
• Anais Christina Taylor, D.O.
• The Harmony Home, LLC

• Optometrist in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.