Individual
DEANNA VAN STAVOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5511
Mailing address
1619 WAR FORK RD, VANSANT, VA 24656-8524
(276) 312-0729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2494DT
KY
Other
Enumeration date
07/02/2026
Last updated
07/15/2026
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