Individual provider Active NPI

Stephanie Veilleux, OD

  • Optometrist
  • Danville, CA
National Provider Identifier
1730591660
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14893 Issued in CA
Practice address
417 Sycamore Valley Rd W
Danville, CA 94526-3951
Phone
(925) 838-3021
NPI assigned
May 27, 2014
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14893 CA Primary

Addresses

Primary practice location

417 Sycamore Valley Rd W
Danville, CA 94526-3951

Mailing address

1867 Saddlewood Dr
Concord, CA 94521-1506
Phone (925) 200-2681

Other names 1

  • Stephanie Lew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140717002425 CA Practitioner - Optometry 9638395122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Stephanie Veilleux OD and Winson Ong ODGroup PAC ID 6002271632, 2 clinicians
Vision Dynamics Optometric CenterGroup PAC ID 9234388562, 2 clinicians

Practice addresses (Care Compare)

1553 Palos Verdes Mall
Walnut Creek, CA 94597-2228
Phone (925) 934-9328

417 Sycamore Valley Rd W
Danville, CA 94526-3951
Phone (925) 838-3021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14893CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Dynamics Optometric Center Optometrist CurrentSince Dec 9, 2016 Accepting new patients
Stephanie Veilleux OD & Winson Ong OD Optometrist CurrentSince Mar 17, 2023 Accepting new patients

Locations

417 Sycamore Valley Rd W
Danville, CA 94526
Phone (925) 838-3021

1553 Palos Verdes Mall
Walnut Creek, CA 94597
Phone (925) 934-9328

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1730591660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 SADDLEWOOD DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211506",
            "telephone_number": "925-200-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SYCAMORE VALLEY RD W",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263951",
            "telephone_number": "925-838-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEILLEUX",
        "first_name": "STEPHANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.