Individual
DR. NATHAN C. STEBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG01190PA
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001891449
BLUECROSS BLUE SHIELD
PA
05
—
1009134120001
—
PA
01
—
165781
MEDICARE PTAN
PA
01
—
397487
NVA NUMBER
PA
01
—
GATEWAY
50430
PA
01
—
RAILROAD MEDICARE
RAILROAD MEDICARE
PA
01
—
SPECTRA
27773
PA
01
—
UMWA
UMW NUMBER
PA
Enumeration date
08/13/2006
Last updated
01/06/2014
Update your record
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