Individual
DR. DOUGLAS W DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
607 BOLL WEEVIL CIR # C, ENTERPRISE, AL 36330-2733
(334) 347-6599
(334) 417-0190
Mailing address
607 BOLL WEEVIL CIR # C, ENTERPRISE, AL 36330-2733
(334) 347-6599
(334) 417-0190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046007697
IL
152W00000X
Optometrist
Primary
R-332
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007697
—
IL
Enumeration date
09/30/2005
Last updated
11/18/2025
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