Provider Demographics
NPI:1891384434
Name:STONECYPHER VISION, LLC
Entity Type:Organization
Organization Name:STONECYPHER VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:STONECYPHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:251-533-7168
Mailing Address - Street 1:3821 NW INDEPENDENCE HWY
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-9341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3290 S SANTIAM HWY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3737
Practice Address - Country:US
Practice Address - Phone:541-258-7251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty