Provider Demographics
NPI:1598745564
Name:DRS FOSTER & STEELE
Entity Type:Organization
Organization Name:DRS FOSTER & STEELE
Other - Org Name:DRS FOSTER & STEELE
Other - Org Type:Other Name
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-623-3875
Mailing Address - Street 1:1823 CROWE LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-7264
Mailing Address - Country:US
Mailing Address - Phone:423-623-3875
Mailing Address - Fax:423-623-2977
Practice Address - Street 1:1823 CROWE LN
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-7264
Practice Address - Country:US
Practice Address - Phone:423-623-3875
Practice Address - Fax:423-623-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT806152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3590667Medicare PIN
0707550001Medicare NSC