DR. EMMANUEL STEVENSON
NPI 1215714043
Optometrist in Swansea, IL

Q: What is Emmanuel Stevenson's NPI number?

The NPI number for Emmanuel Stevenson is 1215714043. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Q: What is Emmanuel Stevenson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 14, 2023PECOS Enrolled

2645 N ILLINOIS ST, SWANSEA, IL 62226(618) 767-5100 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Jan 14, 2026 (2 updates tracked since 2026).

On this page

About Dr. Emmanuel Stevenson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMMANUEL STEVENSON (NPI 1215714043) is an individual optometrist in Swansea, Illinois, licensed in Illinois (046.012080) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of International American University At Puerto Rico - School Of Optometry (2025).

NPPES Registry Identity

NPI1215714043

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. EMMANUEL STEVENSON

Location Address2645 N ILLINOIS STSwansea, IL 62226-2302

Mailing Address15933 Clayton Rd Ste 210Ballwin, MO 63011-2172 · (999) 999-9999

Phone(618) 767-5100

Sole ProprietorYes

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2025

Enumeration DateSeptember 14, 2023

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1215714043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046.012080

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2645 N ILLINOIS ST, Swansea, IL 62226

Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmanuel Stevenson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466928791

PECOS Enrollment IDI20260415001712

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARKSON OPTOMETRY ILLINOIS PC

Optometrist

2645 N ILLINOIS ST
SWANSEA, IL 62226

St. Clair County (636) 200-4393

DR. MINDY NICOLE MILLER O.D.

Optometrist

2645 N ILLINOIS ST
SWANSEA, IL 62226

St. Clair County (618) 767-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Stevenson's NPI number?

The NPI number for Emmanuel Stevenson is 1215714043. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Emmanuel Stevenson located?

Emmanuel Stevenson practices at 2645 N Illinois St, Swansea, IL 62226. The listed phone number is (618) 767-5100.

What is Emmanuel Stevenson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Emmanuel Stevenson enrolled in Medicare?

Yes. Emmanuel Stevenson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuel Stevenson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.