Mccoy, David Jon
Mccoy, David Jon is an individual health care provider with primary practice located at 1040 Cypress Pkwy , Kissimmee FL 34759-3328. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccoy, David Jon can be contacted via phone (407) 933-2088.Contact Information
Primary practice address
1040 Cypress Pkwy
Kissimmee FL 34759-3328
Phone: (407) 933-2088
Fax: (407) 933-1968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3026 | Florida |
Profile Details
| NPI number | 1982797569 |
|---|---|
| LBN Legal business name | Mccoy, David Jon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982797569 | NPPES |
| Florida | MEDICAID | 620196200 |
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