Provider Demographics
NPI:1801928619
Name:STOKEN, DON E (OD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:E
Last Name:STOKEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3375 CARLISLE RD STE C
Mailing Address - Street 2:
Mailing Address - City:GARDNERS
Mailing Address - State:PA
Mailing Address - Zip Code:17324-9603
Mailing Address - Country:US
Mailing Address - Phone:717-677-9141
Mailing Address - Fax:717-677-4360
Practice Address - Street 1:3375 CARLISLE RD STE C
Practice Address - Street 2:
Practice Address - City:GARDNERS
Practice Address - State:PA
Practice Address - Zip Code:17324-9603
Practice Address - Country:US
Practice Address - Phone:717-677-9141
Practice Address - Fax:717-677-4360
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG000782152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010879030001Medicaid
PA1010879030001Medicaid
PA083046Medicare PIN