Provider Demographics
NPI:1750394276
Name:SIMPSON, STEVEN W (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2200 SPARKMAN DR NW
Mailing Address - Street 2:WAL MART VISION CENTER
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-3820
Mailing Address - Country:US
Mailing Address - Phone:256-859-1855
Mailing Address - Fax:256-859-1821
Practice Address - Street 1:2200 SPARKMAN DR NW
Practice Address - Street 2:WAL MART VISION CENTER
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-3820
Practice Address - Country:US
Practice Address - Phone:256-859-1855
Practice Address - Fax:256-859-1821
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-478-TA-303152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL21131OtherSPECTERA
AL47818OtherDAVIS VISION
AL51501895OtherBCBSAL FLORENCE
AL924781OtherBLOCK VISION
AL23205OtherSPECTERA
AL924781OtherBLOCK VISION