Individual
STEPHANIE L BESTWINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6310 S US HIGHWAY 85-87, FOUNTAIN, CO 80817-1006
(719) 391-2317
(719) 390-2947
Mailing address
7095 LEXINGTON DR, COLORADO SPRINGS, CO 80918-6329
(719) 638-4010
(719) 638-4021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2700
TN
152W00000X
Optometrist
Primary
3082
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243807
UHC
—
05
—
3373178
—
TN
05
—
35676515
—
CO
01
—
4204031
BCBS
TN
01
—
5587945
CIGNA
TN
Enumeration date
09/19/2005
Last updated
12/17/2019
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