Douglas W Stephey OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8594T Issued in CA

Legal business name

DOUGLAS W STEPHEY OD INC

Practice address

208 W Badillo St
Covina, CA 91723-1906

Phone

(626) 332-4510

Fax

(626) 332-2630

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Doug Stephey, O.D.

Title

Owner/Doctor

Phone

(626) 332-4510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Douglas Wayne Stephey, OD,

  • Optometrist
  • Covina, CA
  • NPI 1649290123
  Medicare reassignment NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1730400763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-332-4510",
            "fax_number": "626-332-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-332-4510",
            "fax_number": "626-332-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W STEPHEY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "STEPHEY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "626-332-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8594T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Dones
• Anthony Dong, RPH
• Jia Julia Dong, PHARMD
• Annie Leigh Donovan
• Kelly Dormer
• Michael Frederick Douglas Jr.
• Wylie Douglass, NP
• Mohamed Kays Dowaidari, DDS
• Daniel Isaiah Dowdy
• Jessica Doyle

• Optometrist in Covina, CA
• Providers in Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.