Provider Demographics
NPI:1023100963
Name:LABROFF, STEVEN L (OD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:LABROFF
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 1:12745 E DESERT COVE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4320
Mailing Address - Country:US
Mailing Address - Phone:480-393-3019
Mailing Address - Fax:
Practice Address - Street 1:2174 E WILLIAMS FIELD RD
Practice Address - Street 2:STE 124
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-0745
Practice Address - Country:US
Practice Address - Phone:480-786-9845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 1515152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist