Chuck Stevenson Od PA

NPI #1962703009 in Defuniak Springs, Florida

Provider Information

NPI Number: 1962703009
Entity Type: Organization
Organization Name: Chuck Stevenson Od PA
Primary Specialty: Optometrist
Enumeration Date: Nov 5, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 770 US HIGHWAY 331 S
Address 2: SUITE 1
City: Defuniak Springs
State: Florida
ZIP Code: 32435-3300
Phone: (850) 892-5514

Authorized Official

Name: DR. CHARLES G STEVENSON III, OD
Title: OWNER
Phone: (850) 892-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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