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Individual

DOUGLAS LEE STEPHENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
13901 US HIGHWAY 1, SUITE 12, JUNO BEACH, FL 33408-1612
(561) 627-6113
(561) 627-6114
Mailing address
13901 US HIGHWAY 1, SUITE 12, JUNO BEACH, FL 33408-1612
(561) 627-6113
(561) 627-6114

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1974
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC 1974
FL
152WS0006X
Sports Vision Optometrist
OPC 1974
FL

Other

Enumeration date
10/27/2005
Last updated
07/15/2008
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