D SCOTT SHETTLE OD PA NPI 1265674733

NPI Information

D SCOTT SHETTLE OD PA is an eyewear supplier in St Petersburg, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. D SCOTT SHETTLE OD PA NPI is 1265674733. The provider is registered as an organization entity type.
The provider Is Doing Business As Shettle Family Eye Care & Eye Wear.

The provider's business location address is:

4200 4TH ST N
SUITE F
ST PETERSBURG, FL
ZIP 33703-735
Phone: (727) 528-2015
Fax: (727) 528-2010

The provider's authorized official is David Scott Shettle .
The authorized official title is Optometrist/owner/president and has the following contact phone number (727) 422-2940.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 11/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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