Individual provider Active NPI

Lopasteeda Derosa Stephens, OD

  • Optometrist
  • McMinnville, TN
National Provider Identifier
1972507317
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000001363 Issued in TN
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

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3598018MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, CO, VT, WI, NM, CA, GA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20100519000097 TN Practitioner - Optometry 2769511419 Reassigns benefits to 1 organization
Practice locations: McMinnville, TN
I20250918004382 OH Practitioner - Optometry 2769511419 Reassigns benefits to 2 organizations
I20250923002789 CO Practitioner - Optometry 2769511419 Reassigns benefits to 4 organizations
I20251014000118 VT Practitioner - Optometry 2769511419 Reassigns benefits to 1 organization
I20251030001511 WI Practitioner - Optometry 2769511419 Reassigns benefits to 2 organizations
I20251107002366 NM Practitioner - Optometry 2769511419 Reassigns benefits to 2 organizations
I20260220003355 CA Practitioner - Optometry 2769511419 Reassigns benefits to 3 organizations
I20260618001248 GA Practitioner - Optometry 2769511419 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0004135COMDOptometrist
OPT-2025-0020NMMDOptometrist
OPT.007417OHMDOptometrist
4108-35WIMDOptometrist
905-IODWVMDOptometrist
36116CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Mar 3, 2026 Accepting new patients
Raza Uddin OD LLC Optometrist CurrentSince Jan 27, 2026 Accepting new patients
Care Alliance CurrentSince Jan 7, 2026 Accepting new patients
Family First Vision Care Colorado LLC Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Raza Uddin OD LLC Optometrist CurrentSince Jan 27, 2026 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 6, 2025 Accepting new patients
Yah Vision Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Oct 30, 2025 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 21, 2025 Accepting new patients
Total Vision PC Optometrist CurrentSince Feb 6, 2026 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 21, 2025 Accepting new patients
Yah Vision LLC Optometrist CurrentSince Oct 27, 2025 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Oct 7, 2025 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Oct 7, 2025 Accepting new patients
Visionworks, Inc CurrentSince Oct 30, 2025 Accepting new patients
Hermitage Eye Care PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Lopasteeda Derosa Stephens Optometrist CurrentSince Aug 1, 1991 Accepting new patients
Yah Vision LLC Optometrist CurrentSince Oct 27, 2025 Accepting new patients
Care Alliance CurrentSince Jan 7, 2026 Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 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.

View all 31

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

Sources for this page

Verify at the official NPI Registry.