Organization · Type 2 NPI
Stephen K. Near, O.d.
Eyewear Supplier · St. Louis, MI
NPI number
1619162765
Active
Practice location
235 N Mill St
St. Louis, MI 48880-1524
Fax (989) 681-4223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 4901003250 (MI) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
About NPI 1619162765
Stephen K. Near, O.d.'s National Provider Identifier is 1619162765, issued on Sep 12, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in St. Louis, MI. The record was last updated on Jun 10, 2014.