Provider Demographics
NPI:1609888213
Name:DOUGLAS W STEGER PC
Entity Type:Organization
Organization Name:DOUGLAS W STEGER PC
Other - Org Name:MATLOCK OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:STEGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-549-1621
Mailing Address - Street 1:1529 HWY 380 BYPASS
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-2323
Mailing Address - Country:US
Mailing Address - Phone:940-549-1621
Mailing Address - Fax:940-549-6295
Practice Address - Street 1:1529 HWY 380 BYPASS
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-2323
Practice Address - Country:US
Practice Address - Phone:940-549-1621
Practice Address - Fax:940-549-6295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0028FGOtherBCBS
TX0571580001Medicare NSC
TX00364ZMedicare ID - Type Unspecified