Provider Demographics
NPI:1952302184
Name:STOWE, LESTER (OD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:
Last Name:STOWE
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:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-0850
Mailing Address - Country:US
Mailing Address - Phone:828-689-4206
Mailing Address - Fax:828-689-5007
Practice Address - Street 1:63 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-7542
Practice Address - Country:US
Practice Address - Phone:828-689-4206
Practice Address - Fax:828-689-5007
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC946152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909865Medicaid
NCDE9589OtherRAILROAD MEDICARE
NC1053337121OtherGROUP NPI
NC09865OtherBCBS
NCDE9589OtherRAILROAD MEDICARE
NC0197560001Medicare NSC