NPI 1023009610

Scott Lawrence Stanley, OD

Practitioner Optometrist Roseburg, OR

Practice location

Address: 371 NE Garden Valley Blvd, Roseburg, OR 97470-2039
Phone: (541) 673-4166

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2885AT (OR)

Other Optometrist providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD3772 (WA)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT11957TPA (CA)

Registry record

NPI: 1023009610
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2005
Record last updated: 31 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.