Organization Active NPI

Terri L Steddum OD LLC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1841430253
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2700 Issued in CO
Legal business name
TERRI L STEDDUM OD LLC
Practice address
8696 Eckberg HTS
Colorado Springs, CO 80924-8149
Phone
(901) 299-5279
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Terri Steddum, ODNPI 1093905614
Title
Optometrist
Phone
(719) 553-0917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2700 CO Primary

Addresses

Primary practice location

8696 Eckberg HTS
Colorado Springs, CO 80924-8149

Mailing address

412 Eagleridge Blvd
Pueblo, CO 81008-2100
Phone (719) 553-0917

Other identifiers 1

IdentifierTypeStateIssuer
2700OtherCOSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1841430253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082100",
            "telephone_number": "719-553-0917",
            "fax_number": "719-553-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8696 ECKBERG HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248149",
            "telephone_number": "901-299-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI L STEDDUM OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "STEDDUM",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "719-553-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2700",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.