Provider Demographics
NPI:1568514537
Name:SOPHER, STEVEN FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:FRANK
Last Name:SOPHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:866-795-4020
Practice Address - Street 1:8818 WALTHAM WOODS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-2402
Practice Address - Country:US
Practice Address - Phone:410-882-2020
Practice Address - Fax:410-882-5022
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0693152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU41142OtherUNITED HEALTH CARE
MDZ332LEOtherBLUE CROSS BLUE SHIELD
MD2128227OtherOPTIMUM CHOICE
MD2128227OtherMDIPA
MD2128227OtherALLIANCE
MD2128227OtherMAMSI
MD3089589OtherAETNA
MDU41142OtherUNITED HEALTH CARE