Brzytwa, Stephen Michael

Brzytwa, Stephen Michael is an individual health care provider with primary practice located at 2620 Centron Dr Sw , Decatur AL 35603-2500. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brzytwa, Stephen Michael can be contacted via phone (256) 350-6655.

Contact Information

Primary practice address
2620 Centron Dr Sw Decatur AL 35603-2500
Fax: (256) 350-2548
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-944-TA-509 Alabama

Profile Details

NPI number 1740344548
LBN Legal business name Brzytwa, Stephen Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740344548 NPPES
Alabama Other AL0509 EYEMED
Alabama Other 36568-003 EYEMED
Alabama Other 222816 EYEMED
Alabama Other 11357 EYEMED
Alabama Other 2549057 EYEMED
Alabama Other 515-23772 EYEMED

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