Stephen Mark Enochs in Suffolk - Optometrist
Stephen Mark Enochs - NPI 1902875792
Stephen Mark Enochs is a Optometrist in Suffolk, Virginia. Stephen Mark Enochs practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen Mark Enochs is 1902875792. The last update date is 2020-03-12.
Stephen Mark Enochs's current location address is 3575 Bridge Rd Ste 19, Suffolk, Virginia. You can contact this provider via phone number 7576382015 and fax number 7576382010. The mailing address for Stephen Mark Enochs is 3575 Bridge Rd Ste 19, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Mark Enochs |
|---|---|
| Address | 3575 Bridge Rd Ste 19, Suffolk, Virginia |
| Phone Number | 7576382015 |
| Fax Number | 7576382010 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1902875792 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2020-03-12 |
Provider Mailing Address Detail
| Address | 3575 Bridge Rd Ste 19 |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234351844 |
| Phone Number | 7576382015 |
| Fax Number | 7576382010 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618001031 |
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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 |
|---|---|---|---|
| 10419042 | VA | -- | |
| 58739 | VA | OPTIMA HEALTH | |
| 294202 | VA | VA BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Mark Enochs by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Mark Enochs has been assigned the NPI (National Provider Identifier) 1902875792. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Stephen Mark Enochs's physical address?
The Stephen Mark Enochs is physically located at 3575 Bridge Rd Ste 19, in the city of Suffolk, VA, with the postal code 234351844.
What is the Stephen Mark Enochs's area of specialization and corresponding taxonomy classification?
The Stephen Mark Enochs's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Stephen Mark Enochs receive its 1902875792 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Mark Enochs was assigned its 1902875792 by the Centers for Medicare & Medicaid Services on 2006-03-15.
As of what date was the information regarding Stephen Mark Enochs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen Mark Enochs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-12.