Stevens, Sean Micheal
Stevens, Sean Micheal is an individual health care provider with primary practice located at 309 Se Main St , Simpsonville SC 29681-2653. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stevens, Sean Micheal can be contacted via phone (864) 963-4933.Contact Information
Primary practice address
309 Se Main St
Simpsonville SC 29681-2653
Phone: (864) 963-4933
Fax: (864) 967-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1285 | South Carolina |
Profile Details
| NPI number | 1932267051 |
|---|---|
| LBN Legal business name | Stevens, Sean Micheal |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Aug 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932267051 | NPPES |
| South Carolina | MEDICAID | D12859 |
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