Active NPI
Shane Alan Stevens, OD
- Optometrist
- Guilderland, NY
National Provider Identifier
1720558661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0982
- Practice address
- 2050 Western Ave Ste 106
Guilderland, NY 12084-9563 - Phone
- (518) 456-6000
- Fax
- (518) 456-3426
- NPI assigned
- Dec 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0982 | NH | Primary |
Addresses
Primary practice location
2050 Western Ave Ste 106
Guilderland, NY 12084-9563
Mailing address
2050 Western Ave Ste 106
Guilderland, NY 12084-9563
Phone (518) 456-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Shane.Stevens@direct.revolutionehr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 Western Ave
Suite 106
Guilderland, NY 12084-9563
Phone (518) 456-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0982 | NH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
2050 Western Ave
Ste 106
Guilderland, NY 12084
Phone (518) 456-6000
Interoperability endpoints
- shane.stevens@direct.revolutionehr.com
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.
-
- Optometrist
- Guilderland, NY
- NPI 1841776366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1720558661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 WESTERN AVE STE 106",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "120849563",
"telephone_number": "518-456-6000",
"fax_number": "518-456-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 WESTERN AVE STE 106",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "120849563",
"telephone_number": "518-456-6000",
"fax_number": "518-456-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SHANE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-04",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0982",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Shane.Stevens@direct.revolutionehr.com",
"affiliation": "N",
"endpointDescription": "Secure Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "272 Cottage St",
"city": "Sanford",
"state": "ME",
"country_code": "US",
"postal_code": "040731815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Guilderland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.