Individual
DR. DONALD EDWARD STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
526 W PUTNAM AVE, PORTERVILLE, CA 93257-3274
(559) 781-2020
(559) 781-1561
Mailing address
526 W PUTNAM AVE, PORTERVILLE, CA 93257-3274
(559) 781-2020
(559) 781-1561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7364T
CA
152WC0802X
Corneal and Contact Management Optometrist
7364T
CA
152WP0200X
Pediatric Optometrist
7364T
CA
152WS0006X
Sports Vision Optometrist
7364T
CA
152WX0102X
Occupational Vision Optometrist
7364T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0073640
—
CA
Enumeration date
01/23/2006
Last updated
01/27/2010
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