Individual
DR. DON D STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1261 BARING BLVD, SPARKS, NV 89434-8673
(775) 353-5665
(775) 353-5660
Mailing address
1261 BARING BLVD, SPARKS, NV 89436-8673
(775) 353-5665
(775) 353-5660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1015
CO
152W00000X
Optometrist
Primary
NV168
NV
152W00000X
Optometrist
OPT7580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410003582
RAILROAD MEDICARE
—
Enumeration date
10/26/2006
Last updated
12/07/2007
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