Active NPI
Bria Raye Stephens
- Optician
- Lady Lake, FL
National Provider Identifier
1396438016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO7230
- Practice address
- 755 N Hwy 27/441
Lady Lake, FL 32159 - Phone
- (352) 751-6887
- Fax
- (352) 751-0302
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO7230 | FL | Primary |
Addresses
Primary practice location
755 N Hwy 27/441
Lady Lake, FL 32159
Mailing address
33706 Overton Dr
Leesburg, FL 34788-3540
Phone (352) 871-4071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7230 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1396438016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33706 OVERTON DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347883540",
"telephone_number": "352-871-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N HWY 27/441",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-751-6887",
"fax_number": "352-751-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "BRIA",
"middle_name": "RAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO7230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
- Springs of Lady Lake Alf, LLC (Springs of Lady Lake)
- St. Lucie Anesthesia Associates, LLC
- Odett R Stanley-Brown, MD
- Allen Timothy Stanley, LMT, CMMP
- Matthew Staub, RPH
- Terence Jermaine Stephens, PTA
- Julie Louise Stoneham, LCSW
- Megan Leigh Stout, AU.D.
- Mark Christopher Strickland, APRN
- Ashley Brooke Suarez, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.