Provider Demographics
NPI:1558440032
Name:STERLING, BRYAN K (OD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:K
Last Name:STERLING
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 1:773A SOUTH QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904
Mailing Address - Country:US
Mailing Address - Phone:302-734-3511
Mailing Address - Fax:302-736-5862
Practice Address - Street 1:773A SOUTH QUEEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904
Practice Address - Country:US
Practice Address - Phone:302-734-3511
Practice Address - Fax:302-736-5862
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1172152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000249822Medicaid
DE0000249822Medicaid
T26979Medicare UPIN