Teal Ann Sherwin Stefanik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2899 Issued in MN

Practice address

18185 Zane St NW
Elk River, MN 55330-4505

Phone

(763) 441-5428

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720198567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5696 ERIK LN",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264842",
            "telephone_number": "651-552-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18185 ZANE ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304505",
            "telephone_number": "763-441-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANIK",
        "first_name": "TEAL",
        "middle_name": "ANN SHERWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Kay Spence
• Kaitlyn Noel Sporre
• Cody Springer
• Paige Springer
• Brandon Michael Stanek, DC
• Micayla Danielle Steflor, DC
• Taylor Jo Stelton
• Jill Stephens, LP
• Samantha Steve
• Jacob Stevens, PHARM D

• Optometrist in Elk River, MN
• Providers in Elk River, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.