Provider Demographics
NPI:1417045535
Name:SATTERFIELD, M STEVEN (OD)
Entity Type:Individual
Prefix:
First Name:M
Middle Name:STEVEN
Last Name:SATTERFIELD
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 1:417 BILTMORE AVE
Mailing Address - Street 2:4 DOCTORS PARK SUITE J1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4543
Mailing Address - Country:US
Mailing Address - Phone:828-255-8961
Mailing Address - Fax:828-255-8962
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:4 DOCTORS PARK SUITE J1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-255-8961
Practice Address - Fax:828-255-8962
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1156152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909809Medicaid
249449BMedicare ID - Type UnspecifiedBLK MTN ASHEVILLE
NC8909809Medicaid