| Organization Name: | JOHN STEPENSKY |
| NPI Number: | 1033396569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN STEPENSKY (OPTICIAN/OWNER) |
| Mailing Address: | 513 South Main St. New Britain |
| State: | CT US |
| Postal Code: | 06051 |
| Phone Number: | 8602233973 |
| Fax Number: | 8602233973 |
| NPI Enumeration Date: | 01/28/2008 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |