Individual
DR. STEPHEN K NEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
235 N MILL ST, SAINT LOUIS, MI 48880-1524
(989) 681-2684
(989) 681-4223
Mailing address
235 N MILL ST, SAINT LOUIS, MI 48880-1524
(989) 681-2684
(989) 681-4223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003250
MI
332H00000X
Eyewear Supplier
4901003250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048509
—
MI
01
—
OB9651109902
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/13/2006
Last updated
01/15/2013
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