Individual
DAVID O SCHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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