MEDICARE: DR. STEPHANIE ROWE 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	OPT002302	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225126022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE ROWE OD

Provider Business Mailing Address
First Line	:	8491 NW 39TH AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-5635
Country	:	US
Telephone Number	:	352-331-1773
Fax Number	:	352-792-6223

Provider Business Practice Location Address
First Line	:	8491 NW 39TH AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-5635
Country	:	US
Telephone Number	:	523-331-1773
Fax Number	:	523-792-6223

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	06/13/2023

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