Active NPI
Stephen Thomas Tipton, OD
- Optometrist
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5465
- Practice address
- 1605 Reilly Rd
Fort Bragg, NC 28307-5001 - Phone
- (417) 631-3071
- NPI assigned
- Sep 29, 2017
- 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 | OPC5465 | FL | Primary |
Addresses
Primary practice location
1605 Reilly Rd
Fort Bragg, NC 28307-5001
Mailing address
115 Cypress Cir
Southern Pines, NC 28387-7300
Phone (417) 631-3071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Southern College of Optometry, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4377 Woodbine Rd
Pace, FL 32571-8792
Phone (850) 995-4555
460 E 9 Mile Rd
Pensacola, FL 32514-1441
Phone (850) 477-1499
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.14 of 100
- Quality
- 60.29
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Reynolds OD PA | Optometrist | Current | Accepting new patients |
| Douglas Reynolds, O.D. Santa Rosa, P.a. | Optometrist | Current | Accepting new patients |
| Owens & Reynolds Inc | Optometrist | Past | Accepting new patients |
| F & M of Milton Inc | Optometrist | Past | Accepting new patients |
Locations
2491 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-4014
5560 Stewart St
Milton, FL 32570
Phone (850) 623-2545
4377 Woodbine Rd
Pace, FL 32571
Phone (850) 995-4555
800 N 12th Ave
Pensacola, FL 32501
Phone (850) 477-1499
460 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 266-7500
Organizations & group practices 4
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
- Pensacola, FL
- NPI 1023164662
-
- Optometrist
- Pace, FL
- NPI 1891207742
-
- Optometrist
- Milton, FL
- NPI 1982790341
-
- Optometrist
- Pensacola, FL
- NPI 1902128960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1730698010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CYPRESS CIR",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877300",
"telephone_number": "417-631-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 REILLY RD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283075001",
"telephone_number": "417-631-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-29",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.