Shelby Stephenson MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SHELBY STEPHENSON MD

Practice address

300 McKay Street
Suite D
Elizabethtown, NC 28337

Phone

(910) 862-6200

Fax

(910) 862-1494

NPI assigned

Aug 16, 2006

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelby A Stephenson, MDNPI 1639136229

Title

Owner

Phone

(910) 862-6200

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Shelby Stephenson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelby Stephenson

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1598878571
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby A Stephenson, MD

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1639136229
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1174636849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283372170",
            "telephone_number": "910-862-6200",
            "fax_number": "910-862-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MCKAY STREET",
            "address_2": "SUITE D",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-6200",
            "fax_number": "910-862-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY STEPHENSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-862-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "245829460",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8979731",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180018924",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "79731",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sagan
• Samuel Ray Cross DDS PA
• Eric E Schmidt, O.D.
• Schultz Ellis Chiropractic Center
• Harvey C Schultz Jr., D.C.
• James Smith, PT
• Joshua Smith, OTR/L
• Southeastern Health Physician Services (Southeastern Medical Clinic White Lake)
• Southern Professional Counseling Services, LLC
• Sprout Educational Assessment & Consulting Services (Sprout Speech Services)

• Ophthalmology Physician in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.