Individual provider Active NPI

Stephanie Le Asis, OD

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1902383540
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34013TLG Issued in CA
Practice address
47-474 Washington St.
La Quinta, CA 92253
Phone
(800) 898-2020
NPI assigned
Jul 26, 2018
Last updated
Sep 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34013TLG CA Primary

Addresses

Primary practice location

47-474 Washington St.
La Quinta, CA 92253

Mailing address

3265 E Midsummer Privado Unit 1
Ontario, CA 91762-7541
Phone (951) 756-1023

Other practice location 1

23000 Atlantic Cir
Moreno Valley, CA 92553-5990
Phone (951) 924-1877

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
I20181128002253 CA Practitioner - Optometry 4183968365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Le-Asis Optometry IncGroup PAC ID 4284011636, 2 clinicians

Practice addresses (Care Compare)

7041 Schaefer Ave
Suite E
Chino, CA 91710-9113
Phone (951) 660-7699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34013TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Hills Optometry Inc Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Athena Brasfield OD a Professional Corporation Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Le-Asis Optometry, Inc. Optometrist CurrentSince Jan 5, 2022 Accepting new patients
Dr. Gregory L. McFarland, O.D., P.C Optometrist PastSince Apr 9, 2018 Accepting new patients

Locations

7041 Schaefer Ave
Ste E
Chino, CA 91710
Phone (909) 679-6344

4200 Chino Hills Pkwy
Ste 390
Chino Hills, CA 91709
Phone (909) 393-9058

52565 Harrison St
Ste 105
Coachella, CA 92236
Phone (760) 347-6636

82227 US Highway 111
Ste B2
Indio, CA 92201
Phone (760) 347-6636

400 S Farrell Dr
Ste B130
Palm Springs, CA 92262
Phone (760) 347-6636

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1902383540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 E MIDSUMMER PRIVADO UNIT 1",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627541",
            "telephone_number": "951-756-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-474 WASHINGTON ST.",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "92253",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23000 Atlantic Cir",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535990",
            "country_code": "US",
            "telephone_number": "951-924-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASIS",
        "first_name": "STEPHANIE",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34013TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.