Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Shawn Stephens, OD

Individual provider Optometrist · NPI 1619979630

Dr. Timothy Shawn Stephens, OD is an Optometry in Vienna, West Virginia. Graduated from Southern College of Optometry in 2001, 25 years ago. Practices with Family Eyedoctors PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky, Ohio, Tennessee and West Virginia.

Years since qualifying
25
Trained at
Southern College of Optometry
Licensed in
KY, OH, TN, WV
In the registry since
2005
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

244 Grand Central Mall
Vienna, WV 26101-1105
Phone: (304) 485-1199
Fax: (304) 428-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1004OS (WV)
Optometrist Taxonomy 152W00000X · Licence 5261T2167 (OH)
Optometrist Taxonomy 152W00000X · Licence 2282 (TN)
Optometrist Taxonomy 152W00000X · Licence 1533DT (KY)

Record details

NPI number1619979630
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 10, 2005
Last updated in NPPESMarch 25, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Family Eyedoctors Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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