Provider Demographics
NPI:1942348305
Name:MEANS, STEPHEN H (OD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:MEANS
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:449 MARION LN
Mailing Address - Street 2:
Mailing Address - City:NEW WAVERLY
Mailing Address - State:TX
Mailing Address - Zip Code:77358-4505
Mailing Address - Country:US
Mailing Address - Phone:936-291-8282
Mailing Address - Fax:936-291-9863
Practice Address - Street 1:109 MEDICAL PARK LN
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4977
Practice Address - Country:US
Practice Address - Phone:936-291-8282
Practice Address - Fax:936-291-9863
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX4518TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040647201Medicaid
TX76-0650009OtherEYEMED VISION CARE
TX76-0650009OtherAETNAS
TX410038212OtherRAILROAD MEDICARE
TX76-0650009OtherING RELIASTAR LIFE INS
TX760650009OtherSUPERIOR VISION
TX760650009OtherVISION SERVICE PLAN
TX76-0650009OtherVISION CARE INC.
TX76065000977320A001OtherTRICARE
TX82611EOtherBLUECROSS BLUESHIELD
TX82611EOtherMEDICARE PART B
TX4385230001Medicare NSC
TX76-0650009OtherVISION CARE INC.
TX82611EOtherMEDICARE PART B