Provider Demographics
NPI:1790037034
Name:STEENBLIK, NATHAN DRAPER (OD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DRAPER
Last Name:STEENBLIK
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 1:7108 CAMP BOWIE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-7198
Mailing Address - Country:US
Mailing Address - Phone:817-738-3191
Mailing Address - Fax:
Practice Address - Street 1:7108 CAMP BOWIE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-7198
Practice Address - Country:US
Practice Address - Phone:817-738-3191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9827T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist