Individual provider Active NPI

Stephanie Sims, O.D.

  • Optometrist
  • Plain City, OH
National Provider Identifier
1992119465
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6318 Issued in OH
Practice address
12082 Sycamore Trace
Plain City, OH 43064-4400
Phone
(614) 429-1101
Fax
(614) 633-1993
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6318 OH Primary

Addresses

Primary practice location

12082 Sycamore Trace
Plain City, OH 43064-4400

Mailing address

10380 Hazelnut Dr
Plain City, OH 43064-2569
Phone (614) 886-3388

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
I20150206001367 OH Practitioner - Optometry 1658696000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12082 Sycamore Trace
Plain City, OH 43064-4400
Phone (614) 429-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6318OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eye Care LLC Optometrist CurrentSince Apr 8, 2017 Accepting new patients
Village Vision Optometrist CurrentSince May 30, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Sep 13, 2021 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Sep 13, 2021 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients

Locations

2200 Henderson Rd
Ste A
Columbus, OH 43220
Phone (614) 273-2020

6456 Pullman Dr
Lewis Center, OH 43035
Phone (740) 548-0100

12082 Sycamore Trce
Plain City, OH 43064
Phone (614) 429-1101

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1992119465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 HAZELNUT DR",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430642569",
            "telephone_number": "614-886-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12082 SYCAMORE TRACE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644400",
            "telephone_number": "614-429-1101",
            "fax_number": "614-633-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

Verify at the official NPI Registry.