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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY SHAWN STEPHENS, OD

Active Sole Proprietor

DR. TIMOTHY SHAWN STEPHENS, OD is a Optometrist healthcare provider located in VIENNA, West Virginia. NPI 1619979630 is currently active in the NPPES registry. Verify at CMS.

Optometrist · VIENNA, WV

Registration Details

NPI Number
1619979630
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2005 (20.997695721999 yrs)
Last Updated
Mar 25, 2010
Licenses
1004OS (WV)
5261T2167 (OH)
2282 (TN)
1533DT (KY)
Sole Proprietor
Yes

Practice Information

Address
244 GRAND CENTRAL MALL
VIENNA, WV, 261011105
Browse WV providers · Browse ZIP 26101
Phone
3044851199
Fax
3044288102
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in VIENNA, WV

Name Credential NPI
DR. DOUGLAS FREDERICK RITCHIE O.D. 1255333829
DR. JOHN A STAVRAKIS OD 1578521407
DR. LANA MARIE MOHR O.D. 1518915347
DR. RUSTY JOE WEAVER O.D. 1386692770
JOEY MATTHEW WEAVER O.D. 1760414312
SUSANNAH NEFF OD 1336208040
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.