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NPI Code Detail

MEDICARE: DR. ERIC R. STEPP O.D.

MEDICARE:  DR. ERIC R. STEPP  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
1152W00000XOptometristOPC3725FL

Other Identifiers

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

General Provider Information

NPI Number : 1689731887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC R. STEPP O.D.
Provider Business Mailing Address
First Line : 5727 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6326
Country : US
Telephone Number : 954-962-7337
Fax Number : 954-961-5698
Provider Business Practice Location Address
First Line : 5727 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6326
Country : US
Telephone Number : 954-962-7337
Fax Number : 954-961-5698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC R. STEPP O.D.” Practice Location

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