SHELBY A STEPHENSON (NPI# 1639136229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639136229 |
| Entity Type | Individual |
| Full Name | SHELBY A STEPHENSON |
| Credential | MD |
| Practice Address |
1629 Owen Dr Fayetteville NC 28304-3425 |
| Mailing Address |
Po Box 64363 Fayetteville NC 28306-0363 |
| Practice Telephone | 9104842284 |
| Mailing Telephone | 9104833534 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24950 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 180018924 | 01 |
| NC | 8979731 | 05 | |
| NC | 8979732 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1726 Metromedical Dr, Fayetteville, NC 283043861 | 9104842284 | |
| 414 Owen Dr, Fayetteville, NC 283043416 | 9104833534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543048 | Shelby Stephenson | Audiologist | 11500 N Portland Ave, Oklahoma City, OK 73120-4625 | 2018-10-01 |
| Street Address |
1629 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092490 | Leah Ashley Bonaparte | Internal Medicine | 1629 Owen Dr, Fayetteville, NC 28304-3425 | 2013-06-12 |
| 1588781108 | Cape Fear Eye Associates | Technician/Technologist | 1629 Owen Dr, Fayetteville, NC 28304-3456 | 2007-03-26 |
| 1417980913 | Edward M Kenshock | Optometrist | 1629 Owen Dr, Fayetteville, NC 28304-3456 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417394404 | Hans Barron Heymann | Ophthalmology | 613 N Willow Ave, Fayetteville, AR 72701-3550 | 2013-05-30 |
| 1770821324 | Ernest Mitchell Singleton | Ophthalmology | 1793 E Manchester Dr, Fayetteville, AR 72703-6224 | 2013-01-16 |
| 1891910618 | Fayette Medical Clinic Optical Shop | Ophthalmology | 101 Yorktown Dr Ste 225, Fayetteville, GA 30214-1568 | 2007-04-16 |
| 1598878571 | Shelby Stephenson | Ophthalmology | 414 Owen Dr, Fayetteville, NC 28304-3416 | 2006-08-16 |
| 1871521625 | Michael George Woodcock | Ophthalmology | 2047 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-06-29 |
| 1285686865 | Jimmie Wayne Riggins | Ophthalmology | 1726 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-16 |
| 1164473468 | Kellye A Smith | Ophthalmology | 594 E Millsap Rd, Fayetteville, AR 72703-4096 | 2006-05-12 |
| 1760446181 | Brian D Long | Ophthalmology | 340 Brandywine Blvd, Fayetteville, GA 30214-1562 | 2006-04-13 |
| 1891757399 | Steven D. Vold | Ophthalmology | 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 | 2006-04-03 |
| 1851395602 | George Leonard Cooper | Ophthalmology | 2139 Valleygate Dr, Ste 101a, Fayetteville, NC 28304-3666 | 2005-06-09 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on SHELBY A STEPHENSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.