Stephens Eye Associates 401 K Plan

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

GA041970 Issued in GA

Legal business name

STEPHENS EYE ASSOCIATES 401 K PLAN

Doing business as

Stehens Eye Associates

Practice address

285 Boulevard
Suite 540
Atlanta, GA 30312-4214

Phone

(404) 582-0096

NPI assigned

Mar 15, 2011

Organization subpart

Yes

Parent organization

STEPHENS EYE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Harrittia Wilford

Title

Manager

Phone

(404) 582-0096

Specialties & licenses 2

Addresses

Other names 1

• Stehens Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1396044483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD",
            "address_2": "SUITE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD",
            "address_2": "SUITE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124214",
            "telephone_number": "404-582-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS EYE ASSOCIATES 401 K PLAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHENS EYE ASSOCIATES",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "WILFORD",
        "authorized_official_first_name": "HARRITTIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-582-0096"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "GA",
            "license": "GA041970",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "GA041970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stehens Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Stephan, CPNP
• Stephanie L. Ezust, PH.D., PC
• Stephen B Harris
• Stephen M. Barnett, MD, PC
• Paul Stephen
• Alise Nicole Stephens
• Andrea Lashawn Stephens, AGNP-C
• Andrew C. Stephens, PAAA
• Angela Stephens, NUTRITIONIST LD
• Augustus Thirlow Stephens III, MD

• Ophthalmologic Surgery Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.