Stevenot, James Herbert
Stevenot, James Herbert is an sole proprietor health care provider with primary practice located at 2209 Memorial Dr , Waycross GA 31501-0902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stevenot, James Herbert can be contacted via phone (912) 285-2021.Contact Information
Primary practice address
2209 Memorial Dr
Waycross GA 31501-0902
Phone: (912) 285-2021
Fax: (912) 285-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT000966 | Georgia |
Profile Details
| NPI number | 1730273657 |
|---|---|
| LBN Legal business name | Stevenot, James Herbert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 28th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730273657 | NPPES |
| Georgia | MEDICAID | 00366484C | |
| Georgia | Other | 410047413 | |
| Georgia | Other | 52401034003 |
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