Active NPI
Lopasteeda Derosa Stephens, OD
- Optometrist
- McMinnville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000001363
- Practice address
- 915 N Chancery St
Ste 120
McMinnville, TN 37110-1575 - Phone
- (931) 473-6865
- Fax
- (931) 473-5269
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000001363 | TN | Primary |
| Optometrist | 152W00000X | 36116 | CA | |
| Optometrist | 152W00000X | OPT.007417 | OH | |
| Optometrist | 152W00000X | 030.0134031TELE | VT | |
| Optometrist | 152W00000X | 905-IOD | WV | |
| Optometrist | 152W00000X | OPT-2025-0020 | NM | |
| Optometrist | 152W00000X | 4108-35 | WI | |
| Optometrist | 152W00000X | OPT.0004135 | CO |
Addresses
Primary practice location
915 N Chancery St
Ste 120
McMinnville, TN 37110-1575
Mailing address
PO Box 308
MC Minnville, TN 37111-0308
Phone (931) 473-6865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3598018 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OH, CO, VT, WI, NM, CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Vermont Dr
New Hyde Park, NY 11042-1128
153 Meshiwi TRL
McMinnville, TN 37110-6460
1979 Marcus Ave
New Hyde Park, NY 11042-1068
1979 Marcus Ave
Suite 206
New Hyde Park, NY 11042-1002
5 Dakota Dr
New Hyde Park, NY 11042-1188
5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0004135 | CO | MD | Optometrist |
| OPT-2025-0020 | NM | MD | Optometrist |
| OPT.007417 | OH | MD | Optometrist |
| 4108-35 | WI | MD | Optometrist |
| 905-IOD | WV | MD | Optometrist |
| 36116 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Vermont LLC | Optometrist | Current | Accepting new patients |
| Troy Humphreys OD Faao, Professional Corporation | Optometrist | Current | Accepting new patients |
| Raza Uddin OD LLC | Optometrist | Current | Accepting new patients |
| Care Alliance | Current | Accepting new patients | |
| Family First Vision Care Colorado LLC | Optometrist | Current | Accepting new patients |
| Abba Eye Care PC | Optometrist | Current | Accepting new patients |
| Raza Uddin OD LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Yah Vision | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Yah Vision LLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Vermont LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Vermont LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Hermitage Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Abba Eye Care PC | Optometrist | Current | Accepting new patients |
| Lopasteeda Derosa Stephens | Optometrist | Current | Accepting new patients |
| Yah Vision LLC | Optometrist | Current | Accepting new patients |
| Care Alliance | Current | Accepting new patients | |
| Hermitage Eye Care PLLC | Optometrist | Past | Accepting new patients |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
Locations (25 of 41)
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
1730 Novato Blvd
Ste C
Novato, CA 94947
Phone (415) 897-1161
5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553
600 Ash St
Susanville, CA 96130
Phone (530) 257-3636
2101 Main St
Alamosa, CO 81101
2795 Pearl St
Ste 100
Boulder, CO 80302
Phone (303) 444-1211
1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020
6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020
7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020
611 24 Rd
Ste 1
Grand Junction, CO 81505
Phone (970) 242-5412
102 Santa Fe Ave
La Junta, CO 81050
Phone (719) 384-2020
8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721
2800 Cornerstone Dr
Pagosa Springs, CO 81147
Phone (970) 398-0964
900 W Northern Ave
Pueblo, CO 81004
Phone (719) 542-2222
2568 Taylor Ln
Pueblo, CO 81005
Phone (719) 733-3060
3429 Dillon Dr
Spc F8
Pueblo, CO 81008
Phone (719) 207-7770
1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222
1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959
700 S Telshor Blvd
Ste 1536
Las Cruces, NM 88011
Phone (575) 522-8244
1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100
6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018
2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100
903 Tiffin Ave
Findlay, OH 45840
Phone (419) 423-4000
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 31
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Hermitage, TN
- NPI 1275943052
-
- Optometrist
- Colorado Springs, CO
- NPI 1952301129
-
- Optometrist
- Solon, OH
- NPI 1154980811
-
- Optometrist
- Aurora, CO
- NPI 1952827750
-
- Optometrist
- Grand Junction, CO
- NPI 1992528368
-
dba Legacy Optometry
- Optometrist
- Susanville, CA
- NPI 1326660960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1972507317",
"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",
"telephone_number": "931-473-6865",
"fax_number": "931-473-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N CHANCERY ST",
"address_2": "STE 120",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371101575",
"telephone_number": "931-473-6865",
"fax_number": "931-473-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "LOPASTEEDA",
"middle_name": "DEROSA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000001363",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36116",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.007417",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030.0134031TELE",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "905-IOD",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "OPT-2025-0020",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "4108-35",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0004135",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3598018",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, TN
- Melissa Beth Stanley, PHARM. D.
- State of Tennessee (Warren County Health Department)
- Steered Straight Inc (H.O.P.E.)
- Jonathan Mitchell Steiner
- Robert Alan Steiner, P.A.
- Stewart Pharmacy Inc (Stewart Plaza Pharmacy)
- Stewart Pharmacy, Inc. (Stewart Medical Equipment & Oxygen)
- David E. Stewart, PHARM. D.
- Michael T. Stewart, MD
- Philip Stewart, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.