Individual
DR. STEPHEN MARK AVERITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3900 MORSE RD, COLUMBUS, OH 43219-3016
(614) 804-7147
Mailing address
3900 MORSE RD, COLUMBUS, OH 43219-3016
(614) 804-7147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4437T1161
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2465872
—
OH
Enumeration date
02/26/2007
Last updated
11/19/2020
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