Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HOLLIS LOREN STAVN, O.D.

Active Sole Proprietor

DR. HOLLIS LOREN STAVN, O.D. is a Optometrist healthcare provider located in SANTA ROSA, California. NPI 1194728527 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SANTA ROSA, CA

Registration Details

NPI Number: 1194728527
Provider Type: Individual
Gender: Male
NPI Issued: May 31, 2005 (21.163145218618 yrs)
Last Updated: Dec 20, 2012
License: 6812T (CA)
Sole Proprietor: Yes

Practice Information

Address: 2305 MENDOCINO AVE

STE B

SANTA ROSA, CA, 954033157
Browse CA providers · Browse ZIP 95403
Phone: 7075279137
Fax: 7075459278
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in SANTA ROSA, CA

Name	Credential	NPI
DR. IAN JAMES MIDDLETON	OD	1144224791
RICHARD DAVID JONES	O.D., F.A.A.O.	1295730406
DR. RONALD C HARRISON	O.D.	1588653752
DR. LES ALAN SHIPLEY	OD	1225011653
BRUCE P ABRAMSON	O.D.	1841278124
DR. ANTHONY F SORIA	OD	1346219755

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.