Individual
DR. DON D STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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