Active NPI
Stephen S Richman, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1851383277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 193
- Practice address
- 7051 E Tanque Verde Rd
Tucson, AZ 85715-5311 - Phone
- (520) 298-3028
- Fax
- (520) 298-0705
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 193 | AZ | Primary |
Addresses
Primary practice location
7051 E Tanque Verde Rd
Tucson, AZ 85715-5311
Mailing address
7051 E Tanque Verde Rd
Tucson, AZ 85715-5311
Phone (520) 298-3028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035247 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Primary Eye Care PC | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Douglas, AZ
- NPI 1750692877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1851383277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857155311",
"telephone_number": "520-298-3028",
"fax_number": "520-298-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857155311",
"telephone_number": "520-298-3028",
"fax_number": "520-298-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMAN",
"first_name": "STEPHEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035247",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.