Lopasteeda Derosa Stephens in Mc Minnville - Eyewear Supplier

Lopasteeda Derosa Stephens - NPI 1700069200

Lopasteeda Derosa Stephens is a Eyewear Supplier in Mc Minnville, Tennessee. Lopasteeda Derosa Stephens practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Lopasteeda Derosa Stephens is 1700069200. The last update date is 2007-12-07.

Lopasteeda Derosa Stephens's current location address is 1035 Smithville Hwy, Mc Minnville, Tennessee. You can contact this provider via phone number 9314736865. The mailing address for Lopasteeda Derosa Stephens is 1035 Smithville Hwy, Mc Minnville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lopasteeda Derosa Stephens
Address 1035 Smithville Hwy, Mc Minnville, Tennessee
Phone Number 9314736865
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Stephens Derosa Lopasteeda
Telephone Number 9314736865

NPI Number Detail

NPI Number 1700069200
Provider Enumeration Date 2007-12-07
Last Updated Date 2007-12-07

Provider Mailing Address Detail

Address 1035 Smithville Hwy
City Mc Minnville
State Tennessee (TN)
Post Code 371101691
Phone Number 9314736865
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No TN1363
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Lopasteeda Derosa Stephens

What is the Lopasteeda Derosa Stephens's 1700069200?

The Lopasteeda Derosa Stephens's NPI (National Provider Identifier) Number is 1700069200. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lopasteeda Derosa Stephens?

The Lopasteeda Derosa Stephens is situated at 1035 Smithville Hwy, in the city of Mc Minnville, state of TN, with the zip code 371101691.

What is Lopasteeda Derosa Stephens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lopasteeda Derosa Stephens is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.

When did Lopasteeda Derosa Stephens receive its 1700069200 assignment?

The Lopasteeda Derosa Stephens was assigned its 1700069200 on 2007-12-07, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Lopasteeda Derosa Stephens last refreshed?

The information related to the Lopasteeda Derosa Stephens, including its address, specialty, and other relevant details, was last updated on 2007-12-07.

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