Individual
STACY M SCHORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
630 COMFORT LN, MONROE, NC 28112-6199
(704) 289-5455
(704) 291-2207
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093X9
BCBS
NC
01
—
2941385
UNITED HEALTHCARE
NC
05
—
5909701
—
NC
Enumeration date
05/06/2008
Last updated
01/18/2023
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