Shettle, Todd Alan

Shettle, Todd Alan is an individual health care provider with primary practice located at 670 Clearwater Largo Rd N Suite B, Largo FL 33770-2377. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shettle, Todd Alan can be contacted via phone (727) 586-1260.

Contact Information

Primary practice address
670 Clearwater Largo Rd N Suite B Largo FL 33770-2377
Phone: (727) 586-1260
Fax: (727) 586-3636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3278 Florida

Profile Details

NPI number 1194725663
LBN Legal business name Shettle, Todd Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Feb 23rd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194725663 NPPES
Florida MEDICAID 620433300

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