Individual provider Active NPI

Stephen Scott Palazzolo, O.D.

  • Optometrist
  • Carson City, NV
National Provider Identifier
1700967635
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06-01816 Issued in NV
Practice address
844 W Nye LN Ste 104
Carson City, NV 89703-1571
Phone
(775) 882-3937
Fax
(775) 882-4006
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06-01816 NV Primary

Addresses

Primary practice location

844 W Nye LN Ste 104
Carson City, NV 89703-1571

Mailing address

844 W Nye LN Ste 104
Carson City, NV 89703-1571
Phone (775) 882-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20130308000393 NV Practitioner - Optometry 0547387300 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

844 W Nye LN
Carson City, NV 89703-1571
Phone (775) 882-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06-01816NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen S Palazzolo Optometrist CurrentSince Apr 1, 1987 Accepting new patients
Stephen S Palazzolo CurrentSince Apr 1, 1987 Accepting new patients

Locations

844 W Nye Ln
Ste 104
Carson City, NV 89703
Phone (775) 882-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1700967635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W NYE LN STE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031571",
            "telephone_number": "775-882-3937",
            "fax_number": "775-882-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W NYE LN STE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031571",
            "telephone_number": "775-882-3937",
            "fax_number": "775-882-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "06-01816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.