DR. STEPHEN M RICHARDSON (NPI# 1801895438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895438 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M RICHARDSON |
| Credential | O.D. |
| Practice Address |
430 Neal St Cookeville TN 38501-0916 |
| Practice Telephone | 9315286411 |
| Practice Fax Number | 9313720380 |
| Mailing Telephone | 9315286411 |
| Mailing Fax Number | 9313720380 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT-1155 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS TN | 0095470 | 01 | |
| TN | 3596618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394272 | Stephen Mark Richardson | Counselor | 1923 Thunder Mountain Rd, Camdenton, MO 65020-2846 | 2020-04-05 |
| 1780939868 | Stephen F Richardson | Specialist | 9493 S Granite Farm Rd, Sandy, UT 84092-2517 | 2012-07-16 |
| 1710918404 | Stephen K Richardson | Dermatology | 1714 Mahan Center Blvd, Tallahassee, FL 32308-5427 | 2006-07-05 |
| 1487166658 | Stephen Taylor Richardson | Physical Therapist | 1215 21st Ave S, Suite 3312, 300 Medical Center East, South Tower, Nashville, TN 37232 | 2017-10-28 |
| 1356874242 | Stephen Richardson | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2017-04-06 |
| 1174062046 | Stephen Richardson | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2017-02-13 |
| 1639523400 | Stephen Clark Richardson | Psychiatry & Neurology | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2016-04-19 |
| 1598151029 | Stephen Richardson | Anesthesiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2015-04-10 |
| 1679867691 | Stephen Charles Richardson II | Nurse Practitioner | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2011-06-07 |
| 1952619249 | Stephen Russell Richardson I | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2010-09-20 |
| Street Address |
430 NEAL ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-0916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066703 | Lighthouse Optical of Tennessee, LLC | Optometrist | 430 Neal St, Cookeville, TN 38501-0916 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287353 | National Vision Inc | Optometrist | 1265 Interstate Dr Ste 203, Cookeville, TN 38501-5227 | 2020-05-27 |
| 1629284435 | Ronald D Hall | Optometrist | 340 S Lowe Ave, Cookeville, TN 38501-4737 | 2007-05-16 |
| 1891851937 | Heather Kay Brown-conner | Optometrist | 1177 Sams St, Cookeville, TN 38506-4007 | 2006-12-30 |
| 1609827542 | Garrett Clark Shepherd | Optometrist | 45 N Dixie Ave, Cookeville, TN 38501-3372 | 2006-05-15 |
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1366425605 | Ralph H Mullins | Optometrist | 585 E 10th St, Cookeville, TN 38501-1807 | 2005-11-21 |
| 1255320859 | Matthew Kurt Mosteller | Optometrist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2005-10-17 |
| 1477546638 | Jane Elisabeth Wheeler | Optometrist | 768 S Willow Ave Ste A, Cookeville, TN 38501-3892 | 2005-08-23 |
| 1245237247 | James E. Miller | Optometrist | 628 E 10th St, Cookeville, TN 38501-1810 | 2005-07-05 |
| 1972507614 | Jason C Clopton | Optometrist | 1080 Neal St, Ste 300, Cookeville, TN 38501-4038 | 2005-06-10 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on DR. STEPHEN M RICHARDSON.
| 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.