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NPI Code Detail

MEDICARE: DR. STEVEN A JAWORSKI OD

MEDICARE: DR. STEVEN A JAWORSKI 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
1152W00000XOptometristOD817TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12240043OTHERUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30090286OTHERBLUE CROSS

General Provider Information

NPI Number : 1578565008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN A JAWORSKI OD
Provider Business Mailing Address
First Line : 4511 HIXSON PIKE
Second Line :
City : HIXSON
State : TN
Zip : 37343-5035
Country : US
Telephone Number : 423-870-3742
Fax Number : 423-877-9494
Provider Business Practice Location Address
First Line : 4511 HIXSON PIKE
Second Line :
City : HIXSON
State : TN
Zip : 37343-5035
Country : US
Telephone Number : 423-870-3742
Fax Number : 423-877-9494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/01/2010

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Directions to “ DR. STEVEN A JAWORSKI OD” Practice Location

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