Provider Demographics
NPI:1649911892
Name:STEVEN ADRIEN OD PLLC
Entity type:Organization
Organization Name:STEVEN ADRIEN OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-598-5405
Mailing Address - Street 1:361 N UNIVERSITY DR APT 614
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2060
Mailing Address - Country:US
Mailing Address - Phone:954-598-5405
Mailing Address - Fax:
Practice Address - Street 1:3720 NW 3RD AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2703
Practice Address - Country:US
Practice Address - Phone:954-598-5405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty