MEDICARE: DR. DEBRA MARIE STONE 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	152WC0802X	Corneal and Contact Management Optometrist	OPT001352	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	:	1578553616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA MARIE STONE O.D.

Provider Business Mailing Address
First Line	:	800 MT VERNON HWY
Second Line	:	SUITE 125
City	:	ATLANTA
State	:	GA
Zip	:	30328-4295
Country	:	US
Telephone Number	:	770-804-1684
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MT VERNON HWY
Second Line	:	SUITE 125
City	:	ATLANTA
State	:	GA
Zip	:	30328-4295
Country	:	US
Telephone Number	:	770-804-1684
Fax Number	:

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	12/04/2012

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