James a Stephens OD & Associates PA
Organization Active NPI Optometrist · Monticello, FL
NPI 1336340520 · NPPES record last updated Jan 25, 2013
Key facts
- NPI
- 1336340520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC935 (FL)
- Legal business name
- JAMES A STEPHENS OD & ASSOCIATES PA
- Practice address
- 555 N Jefferson St
Monticello, FL 32344-2060 - Phone
- (850) 997-4772
- Fax
- (850) 997-6453
- NPI assigned
- May 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James A Stephens, OD
- Title
- President
- Phone
- (850) 893-4005
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC935 | FL | Yes |
| Ophthalmology Physician |
207W00000X | ME71349 | FL |
Addresses
Primary practice location
555 N Jefferson St
Monticello, FL 32344-2060
Mailing address
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620174100 | Medicaid | FL | |
| 24269 | Other | FL | BCBS |
Other providers in Monticello, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.