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NPI Code Detail

MEDICARE: MARSHA STEIN OPTICIAN

MEDICARE:   MARSHA  STEIN  OPTICIAN
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
1156FX1800XOpticianDO3996FL

General Provider Information

NPI Number : 1912115437
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA STEIN OPTICIAN
Provider Business Mailing Address
First Line : 6007 SUNDAY RD
Second Line :
City : SPRING HILL
State : FL
Zip : 34608-1265
Country : US
Telephone Number : 352-398-0123
Fax Number :
Provider Business Practice Location Address
First Line : 10041 US HIGHWAY 19 # A
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-3742
Country : US
Telephone Number : 727-868-0780
Fax Number : 727-868-0819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ MARSHA STEIN OPTICIAN” Practice Location

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