Provider Demographics
NPI:1811033483
Name:WARWICK, STEVEN DALE (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DALE
Last Name:WARWICK
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 1:1801 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3648
Mailing Address - Country:US
Mailing Address - Phone:302-651-4413
Mailing Address - Fax:302-651-4445
Practice Address - Street 1:1801 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3648
Practice Address - Country:US
Practice Address - Phone:302-651-4413
Practice Address - Fax:302-651-4445
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000337152W00000X
DEI3-0001167152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA06336OtherVBA PROVIDER NUMBER
149509Medicare ID - Type Unspecified
PAT29630Medicare UPIN