MEDICARE: HANNAH MARIE STARR 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	6552	FL

General Provider Information

NPI Number	:	1578380838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE STARR OD

Provider Business Mailing Address
First Line	:	5593 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-623-0319
Fax Number	:	850-626-9686

Provider Business Practice Location Address
First Line	:	5593 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-623-0319
Fax Number	:

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

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	10/15/2024

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