DR. DEWANNA K STAUP O.D. NPI 1962439588

Optometrist in Owens Cross Roads, AL

NPI 1962439588 Individual Female Years of Experience 29 Optometrist PECOS Enrolled Accepts Medicare Approved Payment

About DEWANNA STAUP

Dewanna Staup is a provider established in Owens Cross Roads, Alabama and her medical specialization is optometrist with more than 29 years of experience. She graduated from University Of Alabama School Of Medicine in 1993. The NPI number of Dewanna Staup is 1962439588 and was assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X with license number S-782-TA-246 (AL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Dewanna Staup is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Dewanna Staup is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1962439588

Provider NameDR. DEWANNA K STAUP O.D.
Provider Location Address6838 HIGHWAY 431 S SUITE A OWENS CROSS ROADS, AL 35763
Provider Mailing Address6838 HIGHWAY 431 S SUITE A OWENS CROSS ROADS, AL 35763
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-27-2006
Last Update Date05-06-2008


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.S-782-TA-246
License StateAL
Taxonomy DescriptionDoctors 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.

Business Address

DR. DEWANNA K STAUP O.D.
6838 HIGHWAY 431 S
SUITE A
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-3900

Get Directions


Mailing Address

DR. DEWANNA K STAUP O.D.
6838 HIGHWAY 431 S
SUITE A
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-3900



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000058516MEDICAID (05)AL
U44234MEDICARE UPIN (02)AL
58516MEDICARE ID-TYPE UNSPECIFIED (04)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225067697DR. JAMES C STAUP III O.D.
Individual
Optometrist6838 HIGHWAY 431 S SUITE A
OWENS CROSS ROADS, AL 35763
(256) 534-3900
1861573198SOUTH EAST EYECARE
Organization
Optometrist6838 HIGHWAY 431 S SUITE A
OWENS CROSS ROADS, AL 35763
(256) 534-3900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.