Shipley, David Y
Shipley, David Y is an individual health care provider with primary practice located at 201 Se 15Th Ter Suite 102, Deerfield Beach FL 33441-4464. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Shipley, David Y can be contacted via phone (954) 428-2002.Contact Information
Primary practice address
201 Se 15Th Ter Suite 102
Deerfield Beach FL 33441-4464
Phone: (954) 428-2002
Fax: (954) 427-4614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 2599 | Florida |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPC 2599 | Florida |
Profile Details
| NPI number | 1578531091 |
|---|---|
| LBN Legal business name | Shipley, David Y |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Nov 7th, 2014 - about 12 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 | 1578531091 | NPPES |
| Florida | MEDICAID | 078954201 |
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