Provider Demographics
NPI:1184744906
Name:SCHUP, STANLEY VINCENT III (OD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:VINCENT
Last Name:SCHUP
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:POB 68450
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-8450
Mailing Address - Country:US
Mailing Address - Phone:806-792-3937
Mailing Address - Fax:806-791-1552
Practice Address - Street 1:6002 SLIDE RD
Practice Address - Street 2:B-16
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-4310
Practice Address - Country:US
Practice Address - Phone:806-792-3937
Practice Address - Fax:806-791-1552
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3685152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist