# STEPHANIE JIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144775396
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 33510 | CA | — |
| 152W00000X | Optometrist | OD3369 | TN | — |
| 152WP0200X | Pediatric Optometrist | OD3369 | TN | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 03/21/2022