Provider Demographics
NPI:1598934911
Name:STEINFELD, LEWIS (OD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:
Last Name:STEINFELD
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 1:101 W BROUGHTON ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-3211
Mailing Address - Country:US
Mailing Address - Phone:912-234-9214
Mailing Address - Fax:912-234-7390
Practice Address - Street 1:101 W. BROUGHTON STREET
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-3211
Practice Address - Country:US
Practice Address - Phone:912-234-9214
Practice Address - Fax:912-234-7390
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000799152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA41ZCFRTMedicare PIN
GAT97856Medicare UPIN