Individual
STEPHEN DAVID GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1904 GRAHAM AVE, HENDERSON, NC 27536-5900
(252) 492-9559
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280540001
PALMETTO
NC
05
—
8909315
—
NC
Enumeration date
05/08/2006
Last updated
11/11/2021
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