NPIMap

Organization Active NPI

Lopasteeda Derosa Stephens

  • Eyewear Supplier
  • McMinnville, TN
National Provider Identifier
1700069200
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TN1363 Issued in TN
Legal business name
LOPASTEEDA DEROSA STEPHENS
Practice address
1035 Smithville Hwy
MC Minnville, TN 37110-1691
Phone
(931) 473-6865
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Lopasteeda Derosa StephensNPI 1972507317
Title
Owner
Phone
(931) 473-6865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TN1363 TN Primary

Addresses

Primary practice location

1035 Smithville Hwy
MC Minnville, TN 37110-1691

Mailing address

PO Box 308
MC Minnville, TN 37111-0308

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1700069200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371110308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SMITHVILLE HWY",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101691",
            "telephone_number": "931-473-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPASTEEDA DEROSA STEPHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LOPASTEEDA",
        "authorized_official_middle_name": "DEROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-473-6865"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "TN1363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.