Provider Demographics
NPI:1174522338
Name:BARTEK, STEPHEN J (OD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:BARTEK
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:7060 OAK BROOK TER
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8829
Mailing Address - Country:US
Mailing Address - Phone:615-941-2838
Mailing Address - Fax:615-941-2838
Practice Address - Street 1:1334 N ELLINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2218
Practice Address - Country:US
Practice Address - Phone:931-359-7476
Practice Address - Fax:931-359-3780
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNOD0608152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT61153Medicare UPIN