Individual provider Active NPI

Stephen T Cauble, OD

  • Optometrist
  • Dodge City, KS
National Provider Identifier
1891757704
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1116-3 Issued in KS
Practice address
2405 Central Ave
Dodge City, KS 67801-6206
Phone
(620) 227-2471
Fax
(816) 817-1519
NPI assigned
Apr 5, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1116-2 KS
Optometrist 152W00000X 1116-3 KS Primary

Addresses

Primary practice location

2405 Central Ave
Dodge City, KS 67801-6206

Mailing address

1000 S 169 Hwy
Smithville, MO 64089-9322
Phone (888) 749-7755

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

LicenseStateTypeSpecialty
1116KSMDMarriage & Family Therapist
1116-2KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Eye Clinic PA Optometrist PastSince Oct 10, 2016 Accepting new patients
Thompson Eye Clinic Optometrist Past Accepting new patients
F Rodney Copeland Optometrist PastSince May 31, 2014 Accepting new patients
Dora L Finney OD PA Optometrist Past Accepting new patients
Hiesterman Family Eye Care, LLC Optometrist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1891757704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 169 HWY",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899322",
            "telephone_number": "888-749-7755",
            "fax_number": "816-817-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016206",
            "telephone_number": "620-227-2471",
            "fax_number": "816-817-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUBLE",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1116-2",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1116-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.