Dr. T. Shawn Stephens

Primary specialty

OptometristTaxonomy code 152W00000X

License

1004-D Issued in WV

Legal business name

DR. T. SHAWN STEPHENS

Practice address

244 Grand Central Mall
Vienna, WV 26101-1105

Phone

(304) 485-1199

Fax

(304) 428-8102

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Shawn Stephens, OD

Title

Owner

Phone

(304) 485-1199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Kristine Showalter, O.D.

  • Optometrist
  • Vienna, WV
  • NPI 1659424877
  NPD (past)
• Ohlen Pierce Cartmell, O.D.

  • Optometrist
  • Marietta, OH
  • NPI 1871558320
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1225219611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 GRAND CENTRAL MALL",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261011105",
            "telephone_number": "304-485-1199",
            "fax_number": "304-428-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 GRAND CENTRAL MALL",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261011105",
            "telephone_number": "304-485-1199",
            "fax_number": "304-428-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T. SHAWN STEPHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-485-1199",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1004-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001212",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Devaughn
• Rachel Diamond
• Josey Dickel
• Richard Dipasquale
• Samantha Rae Downing
• Penny Drake
• Emily Duckworth
• Alena Lola Dulaney
• Alicia Duranti, RN
• Dustin Huffman, DDS, and Angel Cook-Huffman, DDS, Inc

• Optometrist in Vienna, WV
• Providers in Vienna, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.