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General NPI Number Information
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NPI Number | 1902007016
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Entity Type | Individual
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Provider Name | MICHAEL EUGENE D'ALESIO O. D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 8001 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-1744
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Country | US
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Telephone | 727-568-0385
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Fax | 727-851-9508
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Provider Business Mailing Address
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Address Line | 2241 SPRINGRAIN DR
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City | CLEARWATER
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State | FL
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Zip | 33763-2238
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Country | US
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Telephone | 727-687-5638
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Fax | 727-851-9508
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2032
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License Number State | FL
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