Individual
DR. SEAN MICHEAL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
309 SE MAIN ST, SIMPSONVILLE, SC 29681-2653
(864) 963-4933
(864) 967-7020
Mailing address
433 SE MAIN ST STE B, SIMPSONVILLE, SC 29681-2651
(864) 963-4933
(864) 967-7020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12859
—
SC
Enumeration date
12/04/2006
Last updated
08/19/2021
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