Individual provider Active NPI

Steven D Alcorn, O.D.

  • Optometrist
  • Fremont, NE
National Provider Identifier
1760477301
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1085 Issued in NE
Practice address
2921 N Clarkson St
Fremont, NE 68025-2371
Phone
(402) 721-8823
Fax
(402) 721-2482
NPI assigned
Sep 20, 2005
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1085 NE Primary

Addresses

Primary practice location

2921 N Clarkson St
Fremont, NE 68025-2371

Mailing address

2921 N Clarkson St
Fremont, NE 68025-2371
Phone (402) 721-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100429000028 NE Practitioner - Optometry 4688701352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2921 N Clarkson St
Fremont, NE 68025-2371
Phone (402) 721-8823

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1085NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Optical, LLC Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

2921 N Clarkson St
Fremont, NE 68025
Phone (402) 721-8823

Organizations & group practices 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1760477301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252371",
            "telephone_number": "402-721-8823",
            "fax_number": "402-721-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252371",
            "telephone_number": "402-721-8823",
            "fax_number": "402-721-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.