MEDICARE: DR. STEPHEN E CHAMBERS 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
1	152W00000X	Optometrist	TUV007779	NY
2	152W00000X	Optometrist	OPT003143	GA
3	152W00000X	Optometrist	OPC6613	FL

General Provider Information

NPI Number	:	1851671739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN E CHAMBERS O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 1ST ST N STE 100
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4507
Country	:	US
Telephone Number	:	863-299-8908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2011
Last Update Date	:	05/12/2025

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