Hollis Loren Stavn in Santa Rosa - Optometrist
Hollis Loren Stavn - NPI 1194728527
Hollis Loren Stavn is a Optometrist in Santa Rosa, California. Hollis Loren Stavn practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Hollis Loren Stavn is 1194728527. The last update date is 2012-12-20.
Hollis Loren Stavn's current location address is 2305 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075279137 and fax number 7075459278. The mailing address for Hollis Loren Stavn is 2305 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hollis Loren Stavn |
|---|---|
| Address | 2305 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075279137 |
| Fax Number | 7075459278 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1194728527 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2012-12-20 |
Provider Mailing Address Detail
| Address | 2305 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 9540331570 |
| Phone Number | 7075279137 |
| Fax Number | 7075459278 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6812T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45719 | CA | SAGEGUARD | |
| SD0068121 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Hollis Loren Stavn?
The Hollis Loren Stavn has been issued the NPI (National Provider Identifier) 1194728527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Hollis Loren Stavn is physically located?
The Hollis Loren Stavn is physically situated at the following address: 2305 Mendocino Ave, Santa Rosa, CA, 9540331570.
What is Hollis Loren Stavn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Hollis Loren Stavn is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Hollis Loren Stavn receive the assignment of its 1194728527 from the Centers for Medicare & Medicaid Services?
The Hollis Loren Stavn was issued its 1194728527 by the Centers for Medicare & Medicaid Services on 2005-05-31.
As of what date were the details pertaining to Hollis Loren Stavn last refreshed?
The information related to the Hollis Loren Stavn, including its address, specialty, and other relevant details, was last updated on 2012-12-20.
NPI Number: 1841294345
Address: 11435 Wellshire Commons Cir Apt 1808, Charlotte, NC