Individual provider Active NPI

Stephen K Near, O.D.

  • Optometrist
  • Saint Louis, MI
National Provider Identifier
1811087745
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003250 Issued in MI
Practice address
235 N Mill St
Saint Louis, MI 48880-1524
Phone
(989) 681-2684
Fax
(989) 681-4223
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003250 MI Primary
Eyewear Supplier 332H00000X 4901003250 MI

Addresses

Primary practice location

235 N Mill St
Saint Louis, MI 48880-1524

Mailing address

235 N Mill St
Saint Louis, MI 48880-1524
Phone (989) 681-2684

Other identifiers 2

IdentifierTypeStateIssuer
3048509MedicaidMI
OB9651109902OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101214000472 MI Practitioner - Optometry 8022124007 Reassigns benefits to 1 organization
Practice locations: Saint Louis, MI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Seals Tacia and Bartz OD PC 12 clinicians

Practice addresses (Care Compare)

2865 S Lincoln Rd
Pleasant Optics
Mt Pleasant, MI 48858-9085
Phone (989) 773-7747

Merit-based Incentive Payment System (MIPS)

Final score
71.23 of 100Reported as group
Quality
43.82
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Seals Tacia & Bartz OD PC Optometrist CurrentSince Mar 17, 2020 Accepting new patients
Seals Tacia & Bartz OD PC Optometrist CurrentSince Mar 17, 2020 Accepting new patients
Seals Tacia & Bartz OD PC Optometrist Current Accepting new patients
Buckingham and Kaminski PLC Optometrist Past Accepting new patients

Locations

322 N State St
Alma, MI 48801
Phone (989) 331-5030

1321 Pine Ave
Alma, MI 48801
Phone (989) 463-1139

2865 S Lincoln Rd
Mt Pleasant, MI 48858
Phone (989) 773-7747

2591 S Leaton Rd
Mt Pleasant, MI 48858
Phone (989) 775-4600

235 N Mill St
Saint Louis, MI 48880
Phone (989) 681-2684

Interoperability endpoints

  • Direct secure messaging: stephen.near@mieyedoctor.direct.eyemdemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1811087745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801524",
            "telephone_number": "989-681-2684",
            "fax_number": "989-681-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801524",
            "telephone_number": "989-681-2684",
            "fax_number": "989-681-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAR",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003250",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901003250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048509",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OB9651109902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MI

Sources for this page

Verify at the official NPI Registry.