Provider Demographics
NPI:1467459859
Name:LAYMON, STEVEN G (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:LAYMON
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 1:198B HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-2008
Mailing Address - Country:US
Mailing Address - Phone:336-751-5734
Mailing Address - Fax:336-751-4968
Practice Address - Street 1:198B HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2008
Practice Address - Country:US
Practice Address - Phone:336-751-5734
Practice Address - Fax:336-751-4968
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1193152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC035345001OtherDMERC - PALMETTO MEDICARE
NC22-02511OtherUNITED HEALTHCARE
NC3367OtherPARTNERS
NC64701OtherMEDCOST
NC264636OtherMAMSI
NC010015728OtherRAILROAD MEDICARE
NC09499OtherBCBS-NC
NC561611707 27028 A001OtherTRICARE / CHAMPUS
NC8909499Medicaid
NC3367OtherPARTNERS
NC246486Medicare ID - Type Unspecified