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

DR HOLLIS L STAVN O.D. AN OPTOMETRY CORPORATION

Active Organization

DR HOLLIS L STAVN O.D. AN OPTOMETRY CORPORATION is a Optometrist organization located in SANTA ROSA, California. NPI 1255618500 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SANTA ROSA, CA

Registration Details

NPI Number
1255618500
Provider Type
Organization
NPI Issued
Nov 14, 2011 (14.769977002939 yrs)
Last Updated
Jun 20, 2018
License
6812 TLG (CA)

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 Organizations in SANTA ROSA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.