Organization Active NPI

Anne E Stevenson, O.D., P.a.

  • Medical Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1912180779
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
3584T Issued in TX
Legal business name
ANNE E STEVENSON, O.D., P.A.
Practice address
7475 Skillman St
Ste. 100B
Dallas, TX 75231-8314
Phone
(214) 348-9500
Fax
(214) 348-9501
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Anne E Stevenson, O.D.NPI 1801930268
Title
President
Phone
(214) 348-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 3584T TX Primary

Addresses

Primary practice location

7475 Skillman St
Ste. 100B
Dallas, TX 75231-8314

Mailing address

7475 Skillman St
Ste. 100B
Dallas, TX 75231-8314
Phone (214) 348-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000331 TX Part B Supplier - Clinic/Group Practice 9032209887 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

6510 Abrams Rd
Ste 500
Dallas, TX 75231
Phone (214) 348-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1912180779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 SKILLMAN ST",
            "address_2": "STE. 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318314",
            "telephone_number": "214-348-9500",
            "fax_number": "214-348-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 SKILLMAN ST",
            "address_2": "STE. 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318314",
            "telephone_number": "214-348-9500",
            "fax_number": "214-348-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE E STEVENSON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-348-9500",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "3584T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.