Doctor Name: | MR. DAVID SHIRLEY |
NPI Number: | 1760658835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICAN |
License Number: | |
Business Practice Address: | 625 Montgomery Hwy Vestavia Hills, AL - 352161809 |
Business Phone Number: | 2058224696 |
Business Fax Number: | |
Mailing Address: | 625 Montgomery Hwy, VESTAVIA HILLS |
State: | AL |
Postal Code: | 352161809 |
Phone Number: | 2058224696 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |