Individual
DR. STEVEN A. DEGROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 FOREST PARK DR, BERNE, IN 46711
(260) 589-3197
(260) 589-2911
Mailing address
150 FOREST PARK DR, P.O. BOX 30, BERNE, IN 46711-1745
(260) 589-3197
(260) 589-2911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002194B
IN
152WC0802X
Corneal and Contact Management Optometrist
18002194B
IN
152WS0006X
Sports Vision Optometrist
18002194B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18002194-B
OPTOMETRY LICENSE #
IN
05
—
300006820
—
IN
Enumeration date
11/17/2005
Last updated
08/15/2018
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