Provider Demographics
NPI:1831245703
Name:HAND, STEPHEN LOUIS (OD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:LOUIS
Last Name:HAND
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 1:2746 LONGMIRE DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5424
Mailing Address - Country:US
Mailing Address - Phone:979-693-3937
Mailing Address - Fax:979-703-8895
Practice Address - Street 1:2746 LONGMIRE DR STE B
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5424
Practice Address - Country:US
Practice Address - Phone:979-693-3937
Practice Address - Fax:979-703-8895
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3799T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093302003Medicaid
TX093302003Medicaid
TXT93157Medicare UPIN