Provider Demographics
NPI:1023046638
Name:STEFFES, PAMELA MICHELE (OD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:MICHELE
Last Name:STEFFES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-966-8415
Mailing Address - Fax:907-966-8665
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8415
Practice Address - Fax:907-966-8665
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK184152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKOD8100Medicaid
U88213Medicare UPIN
8EZ54BMedicare PIN
8EZ41CMedicare PIN
8EZ35BMedicare PIN
8EZ49BMedicare PIN
AKOD8100Medicaid