Active NPI
Kevin Miles Stieb, OD
- Optometrist
- Lawton, OK
National Provider Identifier
1740833227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3043
- Practice address
- 1415 W Gore Blvd
Lawton, OK 73501-3606 - Phone
- (580) 355-3036
- Fax
- (580) 248-1162
- NPI assigned
- Jul 23, 2019
- 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 | 3043 | OK | Primary |
Addresses
Primary practice location
1415 W Gore Blvd
Lawton, OK 73501-3606
Mailing address
1415 W Gore Blvd
Lawton, OK 73501-3606
Phone (580) 355-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3043 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Indian Hospital | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Monique Leong OD PLLC | Optometrist | Current | Accepting new patients |
Locations
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
1415 W Gore Blvd
Lawton, OK 73501
Phone (580) 355-3036
Organizations & group practices 3
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
- Lawton, OK
- NPI 1417397373
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1740833227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013606",
"telephone_number": "580-355-3036",
"fax_number": "580-248-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013606",
"telephone_number": "580-355-3036",
"fax_number": "580-248-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIEB",
"first_name": "KEVIN",
"middle_name": "MILES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-23",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.