Individual
KERRY R STECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
317 THE PKWY, GREER, SC 29650-4569
(864) 627-0634
(864) 627-1960
Mailing address
317 THE PKWY, GREER, SC 29650-4569
(864) 627-0634
(864) 627-1960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
945
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374622412
BLUE CROSS BLUE SHIELD
SC
01
—
4577752
AETNA
SC
05
—
D09453
—
SC
Enumeration date
04/28/2006
Last updated
04/20/2011
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