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Stephan A Vancleve (OD)

Dr. Stephan A Vancleve (OD) is a health care provider specializes in Optometrist.

profile-icon Basic Information

Practice Location 101 Nw 1st St, Suite 112, Evansville, IN 47708-1259, US
Practice Location Phone812-426-2020
Practice Location Fax812-426-2828
GenderMale
Specialty InOptometrist
NPI ?1588669873
Entity TypeIndividual
Enumeration Date ? Jun 15, 2005
Last Update Date ? Oct 18, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Stephan A Vancleve

SpecialtySpecializationLicenseLicense State
Optometrist 18001392Indiana

legacy-id-icon Legacy Provider IDs of Stephan A Vancleve

Provider IdIssuer StateIssuer TypeIssuer
100224480AIndianaMedicaid
87792IndianaOtherANTHEM
254280DIndianaMedicare Pin
4544553IndianaOtherAETNA
G1369707IndianaOtherOXFORD LIFE
580000042IndianaOtherPALMENTO GBA
T35022IndianaMedicare Upin
741360IndianaMedicare Id-type Unspecified