Most Relevant Information
Provider Data
| NPI Number: | 1003805169 |
| Provider Name: | WILLIAM HENRY STEPHEN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OP2897 |
Most Important Dates
| Enumeration Date: | 10/20/2005 |
| Last Updated: | 01/24/2012 |
Provider Practice Location
5885 GUNN HWY
TAMPA
FL
336254007
Practice Location Phone/Fax
| Phone: | 8139080100 |
| Fax: | 8139080099 |
Provider Mailing Location
5885 GUNN HWY
TAMPA
FL
336254007
Provider Mailing Phone/Fax
| Phone: | 8139080100 |
| Fax: | 8139080099 |