MEDICARE: DR. STEPHANIE SIMS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6318	OH

General Provider Information

NPI Number	:	1992119465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE SIMS O.D.

Provider Business Mailing Address
First Line	:	10380 HAZELNUT DR
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-2569
Country	:	US
Telephone Number	:	614-886-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	12082 SYCAMORE TRACE
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-4400
Country	:	US
Telephone Number	:	614-429-1101
Fax Number	:	614-633-1993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	03/20/2025

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