IndividualActive
Jeffery Stephens, OPTICIAN
NPI 1063103018 · Optician · Roseburg, OR
Provider details
- NPI number
- 1063103018
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2125 Nw Stewart Pkwy
Roseburg, OR 97471-1693
Phone: (541) 957-8552
Fax: (541) 957-8549
Approximate (ZIP-level) locationGet directions
Mailing address
2125 Nw Stewart Pkwy
Roseburg, OR 97471-1693
Registry dates
- Enumerated
- 2023-05-18
- Last updated
- 2023-05-18
- Certified
- 2023-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.