Provider Demographics
NPI:1225065105
Name:STEINBERGER, DEAN SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:SCOTT
Last Name:STEINBERGER
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 1:1014 S WESTLAKE BLVD
Mailing Address - Street 2:#10
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3108
Mailing Address - Country:US
Mailing Address - Phone:805-379-1555
Mailing Address - Fax:818-478-2892
Practice Address - Street 1:1014 S WESTLAKE BLVD
Practice Address - Street 2:#10
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3108
Practice Address - Country:US
Practice Address - Phone:805-379-1555
Practice Address - Fax:818-478-2892
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 11289T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0112890Medicaid
CASD0922Medicare UPIN