Provider Demographics
NPI:1700014750
Name:CRESS, STEVEN MICHAEL (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:CRESS
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 1:11025 CAROLINA PLACE PKWY
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-8399
Mailing Address - Country:US
Mailing Address - Phone:704-541-8232
Mailing Address - Fax:828-236-1236
Practice Address - Street 1:11025 CAROLINA PLACE PKWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-8399
Practice Address - Country:US
Practice Address - Phone:704-541-8232
Practice Address - Fax:704-541-8379
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1559152W00000X
NC2146152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist