Individual
DR. STEPHEN N CAJACOB
Active
Individual
DR. STEPHEN N CAJACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2935T377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129223
ANTHEM PROVIDER NUMBER
OH
01
—
0159570001
MEDICARE DMERC
OH
05
—
0231270
—
OH
Enumeration date
07/19/2005
Last updated
01/17/2008
Update your record
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