Individual provider · NPI-1

Stephen Joe Healey, O.D.

Optometrist · Santa Maria, CA

NPI number1285784355
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285784355
Entity type
Individual (NPI-1)
Name
Stephen Joe Healey
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT 9715CAYes

Practice location

363 Town Ctr E
Santa Maria Town Center Space G-73
Santa Maria, CA 93454-5159

Phone 805-922-6118 · Fax 805-922-0139

Mailing address

14006 Riverside Dr
Space 274
Sherman Oaks, CA 91423-1945

Phone 818-461-0635

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