Organization Active NPI

Stevens Optical

  • Optician
  • Hubbard, OH
National Provider Identifier
1881714939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
SC4580 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0718290MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Stevens Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.