ALEXANDRA JAYNE STEVENS (OD) – Optometrist, NPI 1699482760

ALEXANDRA JAYNE STEVENS (OD) is a healthcare provider. based in Nanticoke, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT-002646 (AZ). The NPI Number for ALEXANDRA JAYNE STEVENS (OD) is 1699482760

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA JAYNE STEVENS (OD)
NPI
1699482760
Phone
(570) 735-3114
Address
9 N Market St
Enumeration Date
28 October 2022
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702887405
Graduation Year
2022 (4 years ago)
PAC ID
6901274331
Group Practice PAC ID
0840625349
Professional Enrollment ID
I20251103003283
Address ID
PA187044801KI703XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for ALEXANDRA JAYNE STEVENS (OD)

  • 9 N Market St

    Nanticoke, PA 186341410

    Phone: (570) 735-3114

    Type: Location

  • 703 Rutter Ave

    Kingston, PA 187044801

    Phone: (570) 288-7405

    Type: Location

  • 8530 N 22ND AVE APT 1117

    PHOENIX, AZ 850216029

    Phone:

    Type: Mailing

  • 2002 E CAMELBACK RD STE 101

    PHOENIX, AZ 850164784

    Phone: (027) 306-9386

    Fax: (602) 840-3431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $547.

Total Amount is formed as General ($547) + Research ($0) + Ownership ($0) = $547.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($279).

Total Amount

$547

General + Research + Ownership

Payments

7

Total payment records

General Amount

$547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221116001298IOptometryAZTBD
I20251103003283IOptometryPATBD

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 18634)

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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: 0840625349View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YFL
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Can I verify ALEXANDRA JAYNE STEVENS (OD) with an NPI only?
You can start verification with NPI 1699482760 for ALEXANDRA JAYNE STEVENS (OD), then check state licensing separately.
Does the file indicate ALEXANDRA JAYNE STEVENS (OD) is practicing under active NPI?
Directory data currently reports ALEXANDRA JAYNE STEVENS (OD) as active.
What taxonomy line describes ALEXANDRA JAYNE STEVENS (OD)?
For research purposes, treat ALEXANDRA JAYNE STEVENS (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALEXANDRA JAYNE STEVENS (OD) based?
ALEXANDRA JAYNE STEVENS (OD) is tied to Nanticoke, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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