Individual provider Active NPI

Steven J Trombley

  • Optometrist
  • Gladwin, MI
National Provider Identifier
1922184852
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3212 Issued in MI
Practice address
202 E Cedar Ave
Po276
Gladwin, MI 48624-2261
Phone
(989) 426-8272
Fax
(989) 426-3701
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3212 MI Primary

Addresses

Primary practice location

202 E Cedar Ave
Po276
Gladwin, MI 48624-2261

Mailing address

202 E Cedar Ave
Po276
Gladwin, MI 48624-2261
Phone (989) 426-8272

Other identifiers 1

IdentifierTypeStateIssuer
MI3212OtherMIEYEMED ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071004000125 MI Practitioner - Optometry 3375501745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E Cedar Ave
Gladwin, MI 48624-2261
Phone (989) 426-8272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3212MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gladwin Optometric Center Inc Optometrist CurrentSince Sep 6, 1994 Accepting new patients
Chloee K. Malcolm PLLC Optometrist CurrentSince Aug 3, 2025 Accepting new patients
Pinconning Family Eye Care PC Optometrist Past Accepting new patients

Locations

202 E Cedar Ave
Gladwin, MI 48624
Phone (989) 422-6827

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922184852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "address_2": "PO276",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-426-8272",
            "fax_number": "989-426-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "address_2": "PO276",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-426-8272",
            "fax_number": "989-426-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBLEY",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID NUMBER",
            "identifier": "MI3212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.