Provider Demographics
NPI:1194737858
Name:STEGER, DOUGLAS WAYNE (OD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:WAYNE
Last Name:STEGER
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 1:1529 380 BYP
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-2323
Mailing Address - Country:US
Mailing Address - Phone:940-549-1621
Mailing Address - Fax:940-549-6295
Practice Address - Street 1:1529 380 BYP
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-2323
Practice Address - Country:US
Practice Address - Phone:940-549-1621
Practice Address - Fax:940-549-6295
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02253TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81436QOtherBCBS
TX0571580001OtherDMERC REGION C
TX8F0955Medicare ID - Type Unspecified
TX0571580001OtherDMERC REGION C