Individual
DAVID O SCHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 CHIMACUM RD., PORT HADLOCK, WA 98339
(360) 385-1093
(360) 385-6843
Mailing address
PO BOX 357, PORT HADLOCK, WA 98339-0357
(360) 385-1093
(360) 385-6843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
600 633 947
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467542985
RENDERING PROVIDER
WA
01
—
1801115191
BILLING PROVIDER NPI
WA
05
—
2097509
—
WA
01
—
G000200362
BILLING PROVIDER PTAN
WA
01
—
G8891340
RENDERING PROVIDER PTAN
WA
Enumeration date
10/13/2006
Last updated
03/05/2013
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