Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES GORDON STEVENSON III, OD
Active Sole ProprietorDR. CHARLES GORDON STEVENSON III, OD is a Optometrist healthcare provider located in DEFUNIAK SPRINGS, Florida. NPI 1003999756 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DEFUNIAK SPRINGS, FL
Registration Details
- NPI Number
- 1003999756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.662987606572 yrs)
- Last Updated
- Sep 25, 2008
- License
-
OP0002311 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
770 HWY 331 SOUTHSUITE 1DEFUNIAK SPRINGS, FL, 32435Browse FL providers · Browse ZIP 32435
- Phone
- 8508925514
- Fax
- 8508920189
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DEFUNIAK SPRINGS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. KATIE GILBERT SPEAR | OD | 1548253974 |
| JO ELLEN TOMLINSON | OD | 1396762951 |
| DR. JOE R. EVANS III | O.D. | 1407224405 |
| CHRISTOPHER THOMAS POLK | OD | 1215827597 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.