Stephanie Woo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1812 Issued in AZ

Practice address

383 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9368

Phone

(928) 680-1144

Fax

(928) 680-8639

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Southern California College of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  Medicare reassignment NPD
• Stuart Adams O.D. PC

  dba Havasu Eye Center

  • Optometrist
  • Lake Havasu City, AZ
  • NPI 1447328497
  Medicare reassignment NPD
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1851317861
  NPD
• Stuart Adams O.D PC

  dba Parker Vision Care

  • Optometrist
  • Parker, AZ
  • NPI 1326115833
  NPD

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1922396076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039368",
            "telephone_number": "928-680-1144",
            "fax_number": "928-680-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039368",
            "telephone_number": "928-680-1144",
            "fax_number": "928-680-8639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Capri Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035661",
            "country_code": "US",
            "telephone_number": "928-855-9477",
            "fax_number": "928-855-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1812",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011019156",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "2011019156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922396076",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adejare Windokun, MD
• Alexis Elizabeth Wolf, LAC
• Woman and Child Health, PC
• Womens Medical Health Center Inc
• Francis Jonathan Woo, MD
• Brittany Woodall, DO
• Wright Care LLC (Visiting Angels of Mohave County)
• Tyler Wright
• Thomas R Wrona, M.D.
• Mahesh Yahdev, LDO

• Optometrist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.

Verify at the official NPI Registry.