Individual
DR. STEPHEN VINCENT SCOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 CORPORATE BLVD, SUITE 210, NORFOLK, VA 23502-4975
(757) 622-2200
(757) 965-9493
Mailing address
241 CORPORATE BLVD, SUITE 210, NORFOLK, VA 23502-4975
(757) 622-2200
(757) 622-4866
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101045169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180042990
RR MEDICARE
VA
01
—
1871592352
VIRGINIA PREMIER
VA
05
—
1871592352
—
VA
01
—
286270
ANTHEM BCBS
VA
01
—
38858
OPTIMA
VA
01
—
6785981
CIGNA
VA
05
—
89064HY
—
NC
Enumeration date
07/18/2005
Last updated
10/15/2015
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