Individual
DR. ELIZABETH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005167-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T005167-1
NYS LICENSE NUMBER
NY
Enumeration date
01/29/2007
Last updated
09/16/2025
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