Active NPI
Stevens Optical
- Optician
- Hubbard, OH
National Provider Identifier
1881714939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SC4580
- Legal business name
- STEVENS OPTICAL
- Practice address
- 104 N Main St
Hubbard, OH 44425-1654 - Phone
- (330) 534-7777
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Eppstein
- Title
- Business Owner
- Phone
- (330) 534-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SC4580 | OH | Primary |
Addresses
Primary practice location
104 N Main St
Hubbard, OH 44425-1654
Mailing address
104 N Main St
Hubbard, OH 44425-1654
Phone (330) 534-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0718290 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Stevens Optical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- East Palestine, OH
- NPI 1043331754
-
- Optician
- Boardman, OH
- NPI 1720109127
Locations
104 N Main St
Hubbard, OH 44425
Phone (330) 534-6785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881714939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N MAIN ST",
"city": "HUBBARD",
"state": "OH",
"postal_code": "444251654",
"telephone_number": "330-534-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N MAIN ST",
"city": "HUBBARD",
"state": "OH",
"postal_code": "444251654",
"telephone_number": "330-534-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENS OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EPPSTEIN",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "330-534-7777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "SC4580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0718290",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hubbard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.