National Provider Identifier Database

CHARLES G STEVENSON III, OD – NPI #1003999756
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

CHARLES G STEVENSON III, OD
770 HWY 331 SOUTH
SUITE 1
DEFUNIAK SPRINGS, FL32435
Phone: 850-892-5514
Fax: 850-892-0189
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CHARLES G STEVENSON III

NPI Number 1003999756
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/23/2006
Last updated 09/25/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OP0002311
  • FL Medicaid: 084170600
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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