Degroff, Steven A.
Degroff, Steven A. is an individual health care provider with primary practice located at 150 Forest Park Dr , Berne IN 46711. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Degroff, Steven A. can be contacted via phone (260) 589-3197.Contact Information
Primary practice address
150 Forest Park Dr
Berne IN 46711
Phone: (260) 589-3197
Fax: (260) 589-2911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18002194B | Indiana |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 18002194B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002194B | Indiana |
Profile Details
| NPI number | 1417939273 |
|---|---|
| LBN Legal business name | Degroff, Steven A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Aug 15th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417939273 | NPPES |
| Indiana | Other | 18002194-B | OPTOMETRY LICENSE # |
| Indiana | MEDICAID | 300006820 | OPTOMETRY LICENSE # |
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