Individual
DR. MICHAEL WAYNE STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2245 LONG ST, SWEET HOME, OR 97386-2845
(541) 367-2188
(541) 367-2189
Mailing address
2245 LONG ST, SWEET HOME, OR 97386-2845
(541) 367-2188
(541) 367-2189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2480ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046719
—
OR
01
—
1160810-1
BUSINESS ID NUMBER
OR
01
—
212671
EYEMED VIS CARE ID NUMBER
OR
Enumeration date
08/22/2006
Last updated
08/11/2010
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