Individual provider Active NPI

Stephanie Fozard, O.D.

  • Optometrist
  • Philipsburg, PA
National Provider Identifier
1922194182
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000861 Issued in PA
Practice address
233 N Front St
Suite a
Philipsburg, PA 16866-1669
Phone
(814) 342-4611
Fax
(814) 342-5840
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000861 PA Primary

Addresses

Primary practice location

233 N Front St
Suite a
Philipsburg, PA 16866-1669

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1363 N Atherton St
State College, PA 16803-2932
Phone (814) 238-2862

Other identifiers 2

IdentifierTypeStateIssuer
P00163662OtherPAMEDICARE RAILROAD
0015192290003MedicaidPA

Other names 1

  • Dr. Stephanie Dunsmore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041207000111 PA Practitioner - Optometry 8325004070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Penn Vision Associates, PCGroup PAC ID 0446216188, 3 clinicians

Practice addresses (Care Compare)

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

1363 N Atherton St
State College, PA 16803-2932
Phone (814) 238-2862

233 N Front St
Philipsburg, PA 16866-1669
Phone (814) 238-2862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Penn Vision Associates, PC Optometrist CurrentSince Sep 7, 2004 Accepting new patients

Locations

1363 N Atherton St
State College, PA 16803
Phone (814) 238-2862

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1922194182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N FRONT ST",
            "address_2": "SUITE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661669",
            "telephone_number": "814-342-4611",
            "fax_number": "814-342-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 N Atherton St",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032932",
            "country_code": "US",
            "telephone_number": "814-238-2862",
            "fax_number": "814-237-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOZARD",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00163662",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015192290003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DUNSMORE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.