Record, Stephen Wayne

Record, Stephen Wayne is an individual health care provider with primary practice located at 1450 Sachem Pl Ste 202, Charlottesville VA 22901-2554. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Record, Stephen Wayne can be contacted via phone (434) 978-4090.

Contact Information

Primary practice address
1450 Sachem Pl Ste 202 Charlottesville VA 22901-2554
Phone: (434) 978-4090
Fax: (434) 978-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000233 Virginia

Profile Details

NPI number 1225075732
LBN Legal business name Record, Stephen Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225075732 NPPES
Virginia Other 113326 ANTHEM BC/BS

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