Douglas Lee Stephenson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1974 Issued in FL

Practice address

13901 US Highway 1
Suite 12
Juno Beach, FL 33408-1612

Phone

(561) 627-6113

Fax

(561) 627-6114

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Southern College of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Douglas L. Stephenson, O.D., P.a.

  • Optometrist
  • Juno Beach, FL
  • NPI 1508129008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1871583005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1",
            "address_2": "SUITE 12",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-627-6113",
            "fax_number": "561-627-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1",
            "address_2": "SUITE 12",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-627-6113",
            "fax_number": "561-627-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1974",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 1974",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC 1974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Sims, ARNP
• Donna Marie Smith, LMT
• Patrick C. Smith, D.D.S.
• Stephanie Ann Smith, CCC-SLP
• Star Medical FL PLLC
• Sydney Marie Stephenson
• Veronica Carrie Stern, L.M.T.
• Kimberleigh Stickney, LCMHC
• Constance Faith Stilwell, LICENSED MASSAGE THE
• Alyssa Michelle Streit, L.M.T.

• Optometrist in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.