Provider Demographics
NPI:1942633011
Name:STEPHEN F LORD, OD
Entity Type:Organization
Organization Name:STEPHEN F LORD, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-672-2331
Mailing Address - Street 1:165 SPICERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1037
Mailing Address - Country:US
Mailing Address - Phone:540-672-2331
Mailing Address - Fax:540-672-7294
Practice Address - Street 1:165 SPICERS MILL RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1037
Practice Address - Country:US
Practice Address - Phone:540-672-2331
Practice Address - Fax:540-672-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000224152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty