Shelby Stephenson

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SHELBY STEPHENSON

Practice address

414 Owen Dr
Fayetteville, NC 28304-3416

Phone

(910) 483-3534

Fax

(910) 483-0968

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Shelby A Stephenson, MDNPI 1639136229

Title

Owner

Phone

(910) 483-3534

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shelby Stephenson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelby Stephenson MD

  • Ophthalmology Physician
  • Elizabethtown, NC
  • NPI 1174636849
  NPD tax ID

Practitioners 1

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

• Shelby A Stephenson, MD

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1639136229
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598878571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043416",
            "telephone_number": "910-483-3534",
            "fax_number": "910-483-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043416",
            "telephone_number": "910-483-3534",
            "fax_number": "910-483-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY STEPHENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-483-3534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8979732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyn Shean, PTA
• James E. Shearer, M.D.
• Sandra R Sheehan, DPM
• Kerstin Sheets
• Sheilas Family Home Care Agency
• Jamie Noelle Sheldon, PA-C
• Brandeis Alexandria Shelton, LCSWA
• Julie R Shelton
• Maegan Shelton
• Stuart D Shelton, MD

• Ophthalmology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.