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NPI Code Detail

MEDICARE: DAVID OLIVE, OD, PC

MEDICARE: DAVID OLIVE, OD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristS-931-TA-494AL

General Provider Information

NPI Number : 1326389768
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID OLIVE, OD, PC
Provider Business Mailing Address
First Line : 3040 HAMILTON RD
Second Line :
City : AUBURN
State : AL
Zip : 36830-7556
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 S COLLEGE ST
Second Line :
City : AUBURN
State : AL
Zip : 36832-5870
Country : US
Telephone Number : 334-663-2568
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID OLIVE
Credential : O.D.
Telephone Number : 334-663-2568
Provider Enumeration Date : 03/11/2013
Last Update Date : 03/11/2013

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