Stevens, Jeffrey Lyle

Stevens, Jeffrey Lyle is an individual health care provider with primary practice located at 100 E California Blvd , Pasadena CA 91105-3205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Stevens, Jeffrey Lyle can be contacted via phone (626) 568-8838.

Contact Information

Primary practice address
100 E California Blvd Pasadena CA 91105-3205
Phone: (626) 568-8838
Fax: (626) 583-8838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C148445 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7997 South Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD151338 Oregon
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD 60151762 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD438137 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-15046 Idaho
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X M-15046 Idaho

Profile Details

NPI number 1114254711
LBN Legal business name Stevens, Jeffrey Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Nov 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114254711 NPPES
California Other 1760541569 GROUP NPI

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