Active NPI
Terry L Steckman, OD
- Optometrist
- Bend, OR
National Provider Identifier
1861460404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1407AT
- Practice address
- 62968 O B Riley Rd
Ste#11
Bend, OR 97701-9442 - Phone
- (541) 382-2020
- Fax
- (541) 382-5004
- NPI assigned
- Mar 9, 2006
- 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 | 1407AT | OR | Primary |
Addresses
Primary practice location
62968 O B Riley Rd
Ste#11
Bend, OR 97701-9442
Mailing address
62968 O B Riley Rd
Ste#11
Bend, OR 97701-9442
Phone (541) 382-2020
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 |
|---|---|---|---|
| 1407 | OR | MD | Nutrition Chiropractor |
| 1407AT | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1861460404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62968 O B RILEY RD",
"address_2": "STE#11",
"city": "BEND",
"state": "OR",
"postal_code": "977019442",
"telephone_number": "541-382-2020",
"fax_number": "541-382-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62968 O B RILEY RD",
"address_2": "STE#11",
"city": "BEND",
"state": "OR",
"postal_code": "977019442",
"telephone_number": "541-382-2020",
"fax_number": "541-382-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKMAN",
"first_name": "TERRY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1407AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.