DR. DOUGLAS WAYNE STEPHEY (OD,) – Optometrist, NPI 1649290123

DR. DOUGLAS WAYNE STEPHEY (OD,) is a healthcare provider. based in Covina, California. specializing in OPTOMETRY. They hold the professional credentials OD,. They hold a License No. 08594 (CA). The NPI Number for DR. DOUGLAS WAYNE STEPHEY (OD,) is 1649290123

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS WAYNE STEPHEY (OD,)
NPI
1649290123
Phone
(626) 332-4510
Address
208 W BADILLO ST
Enumeration Date
20 July 2006
Last Update Date
9 February 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6263324510
Graduation Year
1984 (42 years ago)
PAC ID
2264562164
Professional Enrollment ID
I20100618000344
Address ID
CA917231906CO208XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. DOUGLAS WAYNE STEPHEY (OD,)

  • 208, West Badillo Street, Covina, Los Angeles County, California, 91723, United States

    COVINA, CA 917231906

    Phone: (626) 332-4510

    Fax: (626) 332-2630

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100618000344IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92065Eye training exercise performed by health care professional81328$0
92012Established patient problem focused exam of visual system8641$0
92083Exam of visual field with extended testing4734$0
92014Established patient complete exam of visual system3532$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 91723)

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Reviews

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Frequently asked questions

Is DR. DOUGLAS WAYNE STEPHEY (OD,) listed with a National Provider Identifier?
Yes — DR. DOUGLAS WAYNE STEPHEY (OD,) has NPI 1649290123 on file in the registry.
Is DR. DOUGLAS WAYNE STEPHEY (OD,) shown as active in public data?
Registry records indicate DR. DOUGLAS WAYNE STEPHEY (OD,) maintains an active NPI.
What kind of doctor is DR. DOUGLAS WAYNE STEPHEY (OD,)?
DR. DOUGLAS WAYNE STEPHEY (OD,) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DOUGLAS WAYNE STEPHEY (OD,)?
Travel planning: use Covina, California as the reference point for DR. DOUGLAS WAYNE STEPHEY (OD,), then confirm.
When was this NPI issued?
Enumeration for DR. DOUGLAS WAYNE STEPHEY (OD,) is noted as July 20, 2006 where the registry provides it.

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