NPIMap

Individual provider Active NPI

James A. Stephens, O.D.

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1851451405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 935 Issued in FL
Practice address
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone
(850) 893-4005
Fax
(850) 893-9987
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 935 FL Primary

Addresses

Primary practice location

1480 Timberlane Rd
Tallahassee, FL 32312-1713

Mailing address

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

Other identifiers 1

IdentifierTypeStateIssuer
19482OtherFLBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 935FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Stephens OD & Associates PA Optometrist PastSince Jan 1, 1990 Accepting new patients
James a Stephens OD & Associates PA Optometrist PastSince Jan 1, 1990 Accepting new patients
James a Stephens, OD & Associates PA Optometrist PastSince Jan 1, 1990 Accepting new patients
James a Stephens OD & Associates PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Hour Glass Inc PastSince Apr 3, 2013 Accepting new patients
North Florida Regional Eyecare, PA Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851451405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121713",
            "telephone_number": "850-893-4005",
            "fax_number": "850-893-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121713",
            "telephone_number": "850-893-4005",
            "fax_number": "850-893-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • 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.