Provider Demographics
NPI:1790564466
Name:STEFLIK, CAMERON (OD)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:STEFLIK
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 1:181 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1979
Mailing Address - Country:US
Mailing Address - Phone:828-254-6757
Mailing Address - Fax:828-254-6758
Practice Address - Street 1:181 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1979
Practice Address - Country:US
Practice Address - Phone:828-254-6757
Practice Address - Fax:828-254-6758
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2767152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist