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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578531091 NPPES
Florida MEDICAID 078954201

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