Woo, Stephanie

Woo, Stephanie is an individual health care provider with primary practice located at 383 Lake Havasu Ave S , Lake Havasu City AZ 86403-9368. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Woo, Stephanie can be contacted via phone (928) 680-1144.

Contact Information

Primary practice address
383 Lake Havasu Ave S Lake Havasu City AZ 86403-9368
Fax: (928) 680-8639
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1812 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 2011019156 Missouri
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2011019156 Missouri

Profile Details

NPI number 1922396076
LBN Legal business name Woo, Stephanie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Jul 15th, 2020 - about 6 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 1922396076 NPPES
Missouri MEDICAID 1922396076

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