Provider Demographics
NPI:1437187242
Name:STEPHENS, CLIFTON CURTIS II (OD)
Entity Type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:CURTIS
Last Name:STEPHENS
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 N OCEAN DR
Mailing Address - Street 2:UNIT #3-D
Mailing Address - City:SINGER ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33404-2548
Mailing Address - Country:US
Mailing Address - Phone:561-863-7813
Mailing Address - Fax:
Practice Address - Street 1:VAMC
Practice Address - Street 2:7305 N. MILITARY TRAIL
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-422-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3180152W00000X
TN1694152WC0802X
FLOPC-3180152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Not Answered152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1694OtherSTATE LICENSE
FLOPC-3180OtherSTATE LICENSE