Ditta, Stephen A

Ditta, Stephen A is an sole proprietor health care provider with primary practice located at 1231 Alma St Ste O, Tomball TX 77375-4501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ditta, Stephen A can be contacted via phone (281) 351-7378.

Contact Information

Primary practice address
1231 Alma St Ste O Tomball TX 77375-4501
Phone: (281) 351-7378
Fax: (281) 255-9597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3624T Texas

Profile Details

NPI number 1487645552
LBN Legal business name Ditta, Stephen A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Jun 11th, 2014 - about 12 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 1487645552 NPPES
Texas Other 760194385 COMP BENEFITS
Texas Other 760194385 COMP BENEFITS
Texas Other 2813517378 COMP BENEFITS
Texas MEDICAID 093346701 COMP BENEFITS
Texas Other 930127 COMP BENEFITS
Texas Other 760194385 COMP BENEFITS

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