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NPI Code Detail

MEDICARE: DR. STEVEN C CONNETT O. D.

MEDICARE: DR. STEVEN C CONNETT O. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3335OH

General Provider Information

NPI Number : 1487658076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN C CONNETT O. D.
Provider Business Mailing Address
First Line : 6557 BRANDT PIKE
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3353
Country : US
Telephone Number : 937-236-1770
Fax Number : 937-236-4006
Provider Business Practice Location Address
First Line : 6557 BRANDT PIKE
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3353
Country : US
Telephone Number : 937-236-1770
Fax Number : 937-236-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/10/2008

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