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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EMMANUEL STEVENSON OD
NPI 1215714043
Optometrist in Belleville, IL

Active since September 14, 2023PECOS Enrolled
2525 GREEN MOUNT COMMONS DR, BELLEVILLE, IL 62221(618) 233-7800(628) 233-7290 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Apr 8, 2026, Jan 14, 2026 (3 updates tracked since 2026).

About Dr. Emmanuel Stevenson Od NPPES

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

DR. EMMANUEL STEVENSON OD (NPI 1215714043) is an individual optometrist in Belleville, Illinois, licensed in Illinois (046.012080) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, 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 STEVENSONCredential: OD
Location Address2525 GREEN MOUNT COMMONS DRBelleville, IL 62221-6724
Mailing Address15933 Clayton Rd Ste 210Ballwin, MO 63011-2172 · (999) 999-9999
Phone(618) 233-7800
Fax(628) 233-7290
Sole ProprietorYes
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2025
Enumeration DateSeptember 14, 2023
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 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.
2525 GREEN MOUNT COMMONS DR, Belleville, IL 62221
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100
Location 22645 N Illinois StSwansea, IL 62226-2302 · Phone (618) 767-5100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emmanuel Stevenson Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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 62221 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

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

DR. BRETT ALAN SOBIERALSKI O.D.
Optometrist
2525 GREEN MOUNT COMMONS DR, STE 290
BELLEVILLE, IL 62221
St. Clair County (618) 233-7800

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 2525 Green Mount Commons Dr, Belleville, IL 62221. The listed phone number is (618) 233-7800.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emmanuel Stevenson was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.