Couzens Stam Domingo PA
NPI #1003955568 in Jacksonville Beach, Florida
Provider Information
- NPI Number
- 1003955568
- Entity Type
- Organization
- Organization Name
- Couzens Stam Domingo PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Nov 16, 2007
Practice Location
- Address
- 905 BEACH BLVD
- Address 2
- SUITE B
- State
- Florida
- ZIP Code
- 32250-4303
- Phone
- (904) 246-4831
Authorized Official
- Name
- DR. BRYAN ANDREW STAM, O.D.
- Title
- PRESIDENT
- Phone
- (904) 246-4831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Individual Providers
| Provider Name | |
|---|---|
| Bryan Andrew Stam, O.D. |  AI Deep Dive |
| Charles Steven Lancaster, O.D. | AI Deep Dive |
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| Provider Name | |
|---|---|
| West Point Optical Group | AI Deep Dive |
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