Robert Stover, OD | |
568 Molly Ln, Chattanooga, TN 37402-2254 | |
(704) 718-1099 | |
Not Available |
Full Name | Robert Stover |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 6 Years |
Location | 568 Molly Ln, Chattanooga, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447735147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2311 (South Carolina) | Secondary |
152W00000X | Optometrist | OPT003129 (Georgia) | Secondary |
152W00000X | Optometrist | 3800 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mobile Medical Eye Care Llc | 6800213380 | 6 |
Jessup Mobile Opt Tn Llc | 3476898073 | 7 |
Provider Name | Mobile Medical Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629680830 PECOS PAC ID: 6800213380 Enrollment ID: O20200828001372 |
Provider Name | 360care Services Of Georgia Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871353599 PECOS PAC ID: 5991145112 Enrollment ID: O20240503002507 |
Mailing Address | Practice Location Address |
---|---|
Robert Stover, OD 568 Molly Ln, Chattanooga, TN 37402-2254 Ph: (704) 718-1099 | Robert Stover, OD 568 Molly Ln, Chattanooga, TN 37402-2254 Ph: (704) 718-1099 |
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