D SCOTT SHETTLE OD PA NPI 1265674733

NPI Information

  • NPI: 1265674733
  • Provider Name: D SCOTT SHETTLE OD PA
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: SHETTLE FAMILY EYE CARE & EYE WEAR
  • Address: 4200 4TH ST N
    SUITE F
    ST PETERSBURG, FL
    ZIP 33703
  • Phone: (727) 528-2015

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierOPC 2753FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16273020001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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