Organization
AMY M. STEPHENS, O.D., P.A.
Active
Other names
Eye Savers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY M. STEPHENS O.D. (DOCTOR, OWNER)
(229) 228-4770
Entity
Organization
Contact information
Practice address
15196 US HIGHWAY 19 S, THOMASVILLE, GA 31757-4820
(229) 228-4770
(229) 225-9060
Mailing address
1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
(850) 894-2332
(850) 668-8625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001621
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825833A
—
GA
01
—
07566
SPECTERA
GA
01
—
44253
AVESIS-GROUP
GA
01
—
92033
AVESIS MEDICAID
GA
Enumeration date
04/04/2007
Last updated
08/12/2008
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