Individual
DR. JASON LANE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
129 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1376
(205) 445-2020
(205) 655-3194
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
R-205-TA-900
AL
Other
Enumeration date
03/13/2011
Last updated
03/21/2022
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