Individual provider Active NPI

Jordyn Stevens, OD

  • Optometrist
  • Chadron, NE
National Provider Identifier
1750861886
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1490 Issued in NE
Practice address
139 W 3Rd St
Chadron, NE 69337
Phone
(308) 432-2200
Fax
(308) 432-3616
NPI assigned
Aug 17, 2018
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1490 NE Primary

Addresses

Primary practice location

139 W 3Rd St
Chadron, NE 69337

Mailing address

139 W 3Rd St
Chadron, NE 69337-2313
Phone (308) 432-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180910002629 NE Practitioner - Optometry 8820348030 Reassigns benefits to 1 organization
I20190522002749 SD Practitioner - Optometry 8820348030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 Main St
Chadron, NE 69337-2585
Phone (308) 432-2200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1490NEMDClinical Social Worker
752SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jopto PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Mountain Valley Vision Center Optometrist CurrentSince May 13, 2019 Accepting new patients

Locations

139 W 3rd St
Chadron, NE 69337
Phone (308) 432-2200

224 Main St
Chadron, NE 69337
Phone (308) 432-2200

1236 North Ave
Spearfish, SD 57783
Phone (605) 642-2645

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1750861886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 3RD ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372313",
            "telephone_number": "308-432-2200",
            "fax_number": "308-432-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W 3RD ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "69337",
            "telephone_number": "308-432-2200",
            "fax_number": "308-432-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JORDYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadron, NE

Sources for this page

Verify at the official NPI Registry.