Individual
STEPHANIE MARIE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
230 E DAY RD, STE 100, MISHAWAKA, IN 46545-3408
(574) 271-3939
(574) 271-3941
Mailing address
230 E DAY RD, STE 100, MISHAWAKA, IN 46545-3408
(574) 271-3939
(574) 271-3941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003890A
IN
152W00000X
Optometrist
5793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293730
—
IN
01
—
204460005
MEDICARE PTAN
IN
05
—
2856128
—
OH
Enumeration date
06/09/2008
Last updated
08/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us