Provider Demographics
NPI:1003884396
Name:STEINMAN, HAROLD VICTOR (OD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:VICTOR
Last Name:STEINMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 S STATE RD
Mailing Address - Street 2:STE. 3
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-1900
Mailing Address - Country:US
Mailing Address - Phone:810-658-2456
Mailing Address - Fax:810-658-5307
Practice Address - Street 1:1063 S STATE RD
Practice Address - Street 2:STE. 3
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1900
Practice Address - Country:US
Practice Address - Phone:810-658-2456
Practice Address - Fax:810-658-5307
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002540152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP31100002OtherMEDICARE ADVANTAGE
MIP00117284OtherRAILROAD MEDICARE
MIHS507882OtherBCN ADVANTAGE
MIHS507882OtherBLUE CARE NETWORK
MIMI2540OtherEYEMED
MIP31100002OtherMEDICARE PLUS BLUE
MI0842940001OtherADMINASTAR FEDERAL
MI900B56560OtherBCBSM
MIC3836OtherMCARE
MI900B56560OtherBCBSM
MIMI2540OtherEYEMED