Individual provider Active NPI

Stephanie M McDonald, O.D.

  • Optometrist
  • Washington Court House, OH
National Provider Identifier
1932148012
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4859 Issued in OH
Practice address
7 Commercial Ave
Washington Court House, OH 43160-2166
Phone
(740) 335-1181
Fax
(740) 335-1182
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4859 OH Primary

Addresses

Primary practice location

7 Commercial Ave
Washington Court House, OH 43160-2166

Mailing address

7 Commercial Ave
Washington Court House, OH 43160-2166
Phone (740) 335-1181

Other identifiers 3

IdentifierTypeStateIssuer
000000390796OtherOHBC BS
2201384OtherOHUHC
MEDICAL MUTUALOtherOH204403890001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040518000278 OH Practitioner - Optometry 7315937513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stephanie McDonald OD LLCGroup PAC ID 2668484668, 2 clinicians

Practice addresses (Care Compare)

7 Commercial Ave
Washington Court House, OH 43160-2166
Phone (740) 335-1181

Hospital & facility affiliations

  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stephanie McDonald OD LLC Optometrist CurrentSince Apr 1, 2006 Accepting new patients
Kara S Hampton Optometrist PastSince Jan 24, 2019 Accepting new patients

Locations

7 Commercial Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1181

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1932148012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMERCIAL AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602166",
            "telephone_number": "740-335-1181",
            "fax_number": "740-335-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMERCIAL AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602166",
            "telephone_number": "740-335-1181",
            "fax_number": "740-335-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000000390796",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2201384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "204403890001",
            "identifier": "MEDICAL MUTUAL",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.