Organization · Type 2 NPI
Lopasteeda Derosa Stephens
Eyewear Supplier · Mc Minnville, TN
NPI number
1700069200
Active
Practice location
1035 Smithville Hwy
Mc Minnville, TN 37110-1691
Mailing address
PO Box 308
Mc Minnville, TN 37111-0308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | TN1363 (TN) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
Other eyewear supplier providers in Mc Minnville
About NPI 1700069200
Lopasteeda Derosa Stephens's National Provider Identifier is 1700069200, issued on Dec 7, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mc Minnville, TN. The record was last updated on Dec 7, 2007.