Individual provider · Type 1 NPI

Emmanuel Stevenson, OD

Optometrist · Belleville, IL

NPI number 1215714043 Active

Practice location

2525 Green Mount Commons Dr
Belleville, IL 62221-6724

Fax (628) 233-7290

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172

Other practice locations

  • 915 N Grand Blvd, St. Louis, MO 63106-1621 · (314) 652-4100
  • 2645 N Illinois St, Swansea, IL 62226-2302 · (618) 767-5100

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X046.012080 (IL)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1215714043

Emmanuel Stevenson, OD's National Provider Identifier is 1215714043, issued on Sep 14, 2023. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Belleville, IL. The record was last updated on Aug 19, 2026.