Active NPI
Stephen D Summerow, O.D.
- Optometrist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1591
- Practice address
- 216 Corder Rd
Warner Robins, GA 31088 - Phone
- (478) 923-5872
- Fax
- (478) 922-9020
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1591 | GA | Primary |
Addresses
Primary practice location
216 Corder Rd
Warner Robins, GA 31088
Mailing address
216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 322-4107
Other practice location 1
5955 Zebulon Rd
Macon, GA 31210-2030
Phone (478) 477-3555
Other practice location 2
1009 Saint Patricks Dr
Perry, GA 31069-2144
Phone (478) 987-3702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000764189Y | Medicaid | GA | |
| 00764189R | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
856 1St St
Macon, GA 31201-6875
Phone (478) 741-1740
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.09 of 100
- Quality
- 90.67
- Improvement activities
- 40
- Cost
- 79.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1591 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gayton Health Centre, PC | Optometrist | Current | Accepting new patients |
| Gayton Health Centre, PC | Past | Accepting new patients |
Locations
131 Highway 32 Byp
Alma, GA 31510
Phone (912) 632-7623
112 Mall Rd
Dublin, GA 31021
Phone (478) 353-8500
117 W Jackson St
Dublin, GA 31021
440 Taylors Mill Rd
Fort Valley, GA 31030
Phone (478) 825-8223
856 1st St
Macon, GA 31201
Phone (478) 741-1740
312 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 638-8652
312 Redfern Vlg
#2522
St Simons Island, GA 31522
700 Maple Dr
Vidalia, GA 30474
Phone (912) 537-1991
100 Spillers Way
Warner Robins, GA 31088
216 Corder Rd
Warner Robins, GA 31088
Phone (912) 923-5872
Interoperability endpoints
- sdsummerow@eyesightassoc.direct.eyemdemr.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.
-
dba DBA Eyesight Associates
- Ophthalmology Physician
- Warner Robins, GA
- NPI 1801860796
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1912039595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CORDER RD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310883604",
"telephone_number": "478-322-4107",
"fax_number": "478-922-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 CORDER RD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31088",
"telephone_number": "478-923-5872",
"fax_number": "478-922-9020"
}
],
"practiceLocations": [
{
"address_1": "5955 Zebulon Rd",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312102030",
"country_code": "US",
"telephone_number": "478-477-3555",
"fax_number": "478-471-9042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Saint Patricks Dr",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "GA",
"postal_code": "310692144",
"country_code": "US",
"telephone_number": "478-987-3702",
"fax_number": "478-987-3943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMMEROW",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000764189Y",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00764189R",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.