Stephen John Ingman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6466T Issued in CA

Practice address

11879 Kemper Rd
Ste 6
Auburn, CA 95603-9021

Phone

(530) 823-5411

Fax

(530) 823-5380

NPI assigned

Nov 26, 2007

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• S & R Ventures Inc

  dba Stephen J Ingman OD

  • Optometrist
  • Auburn, CA
  • NPI 1417992843
  Medicare reassignment NPD Authorized official
• Society for the Blind

  • Optometrist
  • Sacramento, CA
  • NPI 1083718100
  NPD (past)

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1811178395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD",
            "address_2": "STE 6",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-823-5411",
            "fax_number": "530-823-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD",
            "address_2": "STE 6",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-823-5411",
            "fax_number": "530-823-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGMAN",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6466T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2820714",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00742598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Hurst
• Blanca Lidia Hurtado
• Donna M Hutcheson, LMFT #112819
• In Depth Vision Optometry PC
• Indigena Integrative Wellness a Licensed Clinical Social Worker, PC (Indigena Integrative Wellness)
• Alissa Joy Inks, APCC
• Insights Counseling Group
• Viktoriya Ioffe
• Daniyal Naveed Iqbal, DO
• James E Irons, M.D.

• Optometrist in Auburn, CA
• Providers in Auburn, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.

Verify at the official NPI Registry.