Individual provider Active NPI

Steffanie Wilamart, O.D.

  • Optometrist
  • Loma Linda, CA
National Provider Identifier
1861867533
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15438 Issued in CA
Practice address
1852 Curtis St
Loma Linda, CA 92354-1790
Phone
(909) 685-8895
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15438 CA Primary

Addresses

Primary practice location

1852 Curtis St
Loma Linda, CA 92354-1790

Mailing address

1852 Curtis St
Loma Linda, CA 92354-1790

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171025000147 CA Practitioner - Optometry 7911208848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

78015 Main St
Suite 107
La Quinta, CA 92253-3420
Phone (760) 771-0715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 3, 2022 Accepting new patients

Locations

78015 Main St
Ste 107
La Quinta, CA 92253
Phone (760) 771-0715

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1861867533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 CURTIS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 CURTIS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541790",
            "telephone_number": "909-685-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILAMART",
        "first_name": "STEFFANIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.