Individual
DR. STEPHANIE M MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7 COMMERCIAL AVE, WASHINGTON COURT HOUSE, OH 43160-2166
(740) 335-1181
(740) 335-1182
Mailing address
7 COMMERCIAL AVE, WASHINGTON COURT HOUSE, OH 43160-2166
(740) 335-1181
(740) 335-1182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390796
BC BS
OH
01
—
2201384
UHC
OH
01
—
MEDICAL MUTUAL
204403890001
OH
Enumeration date
06/05/2006
Last updated
09/23/2013
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