Stephen T Cauble, OD
Individual provider Active NPI Optometrist · Dodge City, KS
NPI 1891757704 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1891757704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1116-3 (KS)
- Practice address
- 2405 Central Ave
Dodge City, KS 67801-6206 - Phone
- (620) 227-2471
- Fax
- (816) 817-1519
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F Rodney Copeland | Optometrist | Past |
Accepting new patients |
| Dora L Finney OD PA | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1116-2 | KS | |
| Optometrist | 152W00000X | 1116-3 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090280A | Medicaid | KS |
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.