Stevens Eyecare Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

WV-1080-OD Issued in WV

Legal business name

STEVENS EYECARE ASSOCIATES PLLC

Practice address

205 4TH Ave
Saint Albans, WV 25177-2821

Phone

(304) 727-5237

Fax

(304) 727-4051

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Stevens, O.D.

Title

Optometrist/Owner

Phone

(304) 727-5237

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Thomas E Griffith

  • Optometrist
  • Saint Albans, WV
  • NPI 1093785115
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1326422155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 4TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772821",
            "telephone_number": "304-727-5237",
            "fax_number": "304-727-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 4TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772821",
            "telephone_number": "304-727-5237",
            "fax_number": "304-727-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS EYECARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "304-727-5237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV-1080-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV0297A",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063724003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Albans Integrative Health Center
• Desiree Beth Stambaugh
• Kristina Beth Stambaugh
• Sherie Stanley
• Pamela Starkey
• Nathaniel S. Stevens, O.D.
• Carla Jenean Stevenson
• Jessica Stewart, PHARMD.
• Victoria Grace Stokes
• Nellie Stone

• Optometrist in Saint Albans, WV
• Providers in Saint Albans, 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 10, 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.