NPI 1043467012

Wayne B Stevens, OD

Practitioner Optometrist Russellville, AL

Practice location

Address: 15255 Highway 43, Russellville, AL 35653-1924
Phone: (256) 332-5440
Fax: (256) 332-5402
Mailing address: PO Box 1177, Russellville, AL 35653-1177

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S-B82-TA-790 (AL)

Other Optometrist providers in Alabama →

Registry record

NPI: 1043467012
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2008
Record last updated: 21 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.