Provider Demographics
NPI:1508880030
Name:SIMPSON, STEVEN J (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41705 STATE HIGHWAY 74
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-4948
Mailing Address - Country:US
Mailing Address - Phone:951-652-2020
Mailing Address - Fax:951-766-4933
Practice Address - Street 1:41705 STATE HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-4948
Practice Address - Country:US
Practice Address - Phone:951-652-2020
Practice Address - Fax:951-766-4933
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASD0093610T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0493626Medicaid
CA3894840001OtherDME#
CA3894840001OtherDME#
CA0493626Medicaid
CA3894840001OtherDME#