Stephen D Summerow in Warner Robins - Optometrist

Stephen D Summerow - NPI 1912039595

Stephen D Summerow is a Optometrist in Warner Robins, Georgia. Stephen D Summerow practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen D Summerow is 1912039595. The last update date is 2018-06-13.

Stephen D Summerow's current location address is 216 Corder Rd, Warner Robins, Georgia. You can contact this provider via phone number 4789235872 and fax number 4789229020. The mailing address for Stephen D Summerow is 216 Corder Rd, Warner Robins, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen D Summerow
Address 216 Corder Rd, Warner Robins, Georgia
Phone Number 4789235872
Fax Number 4789229020
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1912039595
Provider Enumeration Date 2007-03-09
Last Updated Date 2018-06-13

Provider Mailing Address Detail

Address 216 Corder Rd
City Warner Robins
State Georgia (GA)
Post Code 31088
Phone Number 4789235872
Fax Number 4789229020

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1591
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000764189Y GA --
00764189R GA --

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FAQs about Stephen D Summerow

What is the Stephen D Summerow's unique identification number?

The Stephen D Summerow has been assigned the NPI (National Provider Identifier) Number 1912039595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Stephen D Summerow?

The Stephen D Summerow is situated at 216 Corder Rd, in the city of Warner Robins, state of GA, with the zip code 31088.

What is Stephen D Summerow's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen D Summerow's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Stephen D Summerow receive the assignment of its 1912039595 from the Centers for Medicare & Medicaid Services?

The Stephen D Summerow was issued its 1912039595 by the Centers for Medicare & Medicaid Services on 2007-03-09.

As of what date were the details pertaining to Stephen D Summerow last refreshed?

The information related to the Stephen D Summerow, including its address, specialty, and other relevant details, was last updated on 2018-06-13.

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