DR. LISA B STEPHAN O.D.
NPI 1437113628
Optometrist in Elk Grove, CA

Q: What is Lisa Stephan's NPI number?

The NPI number for Lisa Stephan is 1437113628. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Lisa Stephan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Stephan was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5580 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lisa B Stephan O.d. NPPES

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

DR. LISA B STEPHAN O.D. (NPI 1437113628) is an individual optometrist in Elk Grove, California, licensed in California (12740T) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2003).

NPPES Registry Identity

NPI1437113628

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LISA B STEPHANCredential: O.D.

Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240

Mailing Address9023 Kersh CtElk Grove, CA 95624-1272 · (916) 549-1201

Phone(916) 478-5580

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2003

Enumeration DateApril 14, 2006

Last NPPES UpdateDecember 30, 2021

✔ NPI 1437113628 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 CA · 12740T

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.

9201 BIG HORN BLVD, Elk Grove, CA 95758

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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. Lisa B Stephan O.d. 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 ID6305845124

PECOS Enrollment IDI20061205000418

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 95758 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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 20

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

KIMBERLY T JOHNSON LCSW

Social Worker (Clinical)