Provider Demographics
NPI:1407855109
Name:STARRETT, PATRICK DEE (OD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DEE
Last Name:STARRETT
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 1:1061 HARMON AVE
Mailing Address - Street 2:USAMEDDAC
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314-5641
Mailing Address - Country:US
Mailing Address - Phone:912-435-5948
Mailing Address - Fax:912-435-5950
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:USAMEDDAC
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-5641
Practice Address - Country:US
Practice Address - Phone:912-435-5948
Practice Address - Fax:912-435-5950
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist