STEVEN ISON – Optometrist, NPI 1083136030

STEVEN ISON is a healthcare provider. based in Fort wayne, Indiana. specializing in OPTOMETRY. They hold a License No. 18004057A (IN). The NPI Number for STEVEN ISON is 1083136030

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN ISON
NPI
1083136030
Phone
Not provided
Address
3401 LAKE AVE
Enumeration Date
12 July 2017
Last Update Date
17 July 2017

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3179260283
Graduation Year
2017 (9 years ago)
PAC ID
7416228226
Group Practice PAC ID
5597668574
Professional Enrollment ID
I20170811001354
Address ID
IN462222147IN2835XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for STEVEN ISON

  • 3401, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468055500

    Phone:

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($125).

Total Amount

$286

General + Research + Ownership

Payments

5

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-11

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
I20170811001354IOptometryINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597668574View full group profile
NameSpecialtyState
-IN
O P T O M E T R YIN
O P T O M E T R YIL
O P T O M E T R YTN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
-TX
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What is the standard ID for STEVEN ISON in the U.S.?
In the U.S., STEVEN ISON is identified by NPI 1083136030.
Is STEVEN ISON's NPI status active today?
Active status means STEVEN ISON's NPI record is not deactivated in the public file.
How should patients interpret STEVEN ISON's specialty?
The extract shows Optometrist for STEVEN ISON. Clinical services aligned with this taxonomy classification.
What city is tied to STEVEN ISON?
The directory associates STEVEN ISON with Fort Wayne, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains STEVEN ISON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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