Organization Active NPI

Jennifer Stevens

  • Eyewear Supplier
  • Honesdale, PA
National Provider Identifier
1649443623
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JENNIFER STEVENS
Doing business as
Hometown Eyecare
Practice address
273 Grandview Ave
Suite 3
Honesdale, PA 18431-1163
Phone
(570) 253-8840
Fax
(570) 253-8860
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Jennifer Stevens, OD
Title
Optomertrist
Phone
(570) 253-8840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

273 Grandview Ave
Suite 3
Honesdale, PA 18431-1163

Mailing address

273 Grandview Ave
Suite 3
Honesdale, PA 18431-1163
Phone (570) 253-8840

Other names 1

  • Hometown Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

273 Grandview Ave
Ste 3
Honesdale, PA 18431
Phone (570) 253-8840

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1649443623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 GRANDVIEW AVE",
            "address_2": "SUITE 3",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311163",
            "telephone_number": "570-253-8840",
            "fax_number": "570-253-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 GRANDVIEW AVE",
            "address_2": "SUITE 3",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311163",
            "telephone_number": "570-253-8840",
            "fax_number": "570-253-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER STEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMERTRIST",
        "authorized_official_telephone_number": "570-253-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.