DR. LISA B STEPHAN O.D.
NPI 1437113628
Optometrist in Elk Grove, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Stephan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Lisa Stephan located?
Lisa Stephan practices at 9201 Big Horn Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-5580.
What is Lisa Stephan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lisa Stephan enrolled in Medicare?
Yes. Lisa Stephan 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.
Which organization bills Medicare for Lisa Stephan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Stephan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Stephan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Lisa B Stephan, O.D. · NPI 1437113628
Optometrist provider in Elk Grove, California. Individual provider, active in the CMS NPPES registry since April 14, 2006.
## Identity
- **NPI:** 1437113628 (Entity type: Individual)
- **Enumerated:** April 14, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 12740T (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9201 BIG HORN BLVD, Elk Grove, CA 95758-1240
- **Phone:** (916) 478-5580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2003
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1437113628) · Data from the CMS NPPES public registry.