MEDICARE: DR. STEPHANIE WORRELL OD

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	0618002750	VA
2	152W00000X	Optometrist	2798	NC

General Provider Information

NPI Number	:	1144889585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE WORRELL OD

Provider Business Mailing Address
First Line	:	8313 S NC 55 HWY
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8313 S NC 55 HWY
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9543
Country	:	US
Telephone Number	:	919-639-2020
Fax Number	:

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

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	09/13/2025

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