Individual
LYNNE SANDERS STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
833 SAINT VINCENTS DR, SUITE 401, BIRMINGHAM, AL 35205-1606
(205) 933-7932
Mailing address
4053 WHITE OAK DR, VESTAVIA, AL 35243-5029
(205) 382-1041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B94-TA-803
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08028715
MEDICAID OF MISSISSIPPI
MS
05
—
110054
—
AL
01
—
51598019
BCBS
AL
01
—
P00841079
RAILROAD MEDICARE
—
Enumeration date
07/01/2008
Last updated
08/08/2016
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