Provider Demographics
NPI:1346744976
Name:GERALD STINSON JR OD LLC
Entity Type:Organization
Organization Name:GERALD STINSON JR OD LLC
Other - Org Name:LEXINGTON EYE CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:610-573-7489
Mailing Address - Street 1:210 COURT SQ
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39095-3628
Mailing Address - Country:US
Mailing Address - Phone:662-834-2982
Mailing Address - Fax:662-834-2981
Practice Address - Street 1:210 COURT SQ
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MS
Practice Address - Zip Code:39095-3628
Practice Address - Country:US
Practice Address - Phone:662-834-2982
Practice Address - Fax:662-834-2981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty