# JAMES A STEPHENS OD & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215148655
- **Authorized official:** DR. JAMES A STEPHENS OD (PRESIDENT)
- **Authorized official phone:** (850) 893-4005

## Contact information

- **Practice address:** 2140 CRAWFORDVILLE HWY, CRAWFORDVILLE, FL 32327-1009
- **Practice address phone:** (850) 926-9213
- **Practice address fax:** (850) 926-9215
- **Mailing address:** 1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
- **Mailing address phone:** (850) 893-4005
- **Mailing address fax:** (850) 893-9987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC935 | FL | Yes |
| 207W00000X | Ophthalmology Physician | ME71349 | FL | — |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 06/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24269 | BCBS | FL |
| 05 | — | 620174100 | — | FL |