Individual provider Active NPI

Stephanie Chiang, O.D

  • Optometrist
  • Alliance, OH
National Provider Identifier
1902280795
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6390 Issued in OH
Practice address
985 S Sawburg Ave
Alliance, OH 44601-3515
Phone
(330) 823-1680
Fax
(330) 823-3831
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 6390 OH Primary

Addresses

Primary practice location

985 S Sawburg Ave
Alliance, OH 44601-3515

Mailing address

985 S Sawburg Ave
Alliance, OH 44601-3515
Phone (330) 823-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221208002512 NY Practitioner - Optometry 4880063122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Ophthalmology, PLLCGroup PAC ID 3173821659, 6 clinicians

Practice addresses (Care Compare)

405 International Dr
Williamsville, NY 14221-5725
Phone (716) 633-7386

Merit-based Incentive Payment System (MIPS)

Final score
98.6 of 100Reported as group
Quality
97.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009687NYMDRegistered Dietitian
6390OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Ophthalmology PLLC CurrentSince Jan 5, 2023 Accepting new patients
Buffalo Optique LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

301 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6500

405 International Dr
Williamsville, NY 14221
Phone (716) 633-7386

Interoperability endpoints

  • Direct secure messaging: stephaniec@buffaloophthalmology.medentdirect.com

Organizations & group practices 2

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": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1902280795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "STEPHANIE",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.