Whalio Doctors

NPI 1457336927

Bryan Keith Stephens, OD

Practitioner Optometrist Goshen, IN

Practice location

Address
1722 Bashor Rd, Goshen, IN 46526-1302
Phone
(574) 533-4141
Fax
(574) 534-2278

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1800-2579 (IN)

Registry record

NPI
1457336927
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Dec 2005
Record last updated
10 Dec 2013

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.