Individual
DR. DAVID NEIL WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
36 HERITAGE DR, ALEXANDER CITY, AL 35010-3031
(256) 329-2020
Mailing address
PO BOX 515, ALEXANDER CITY, AL 35011-0515
(256) 329-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S626TA180
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058466
—
AL
01
—
0125920001
MEDICARE REGIONAL DME
AL
01
—
410016238
RR MEDICARE
AL
01
—
51058466
BCBS
AL
01
—
511-12625
BCBS
AL
01
—
630958794
TRICARE
AL
Enumeration date
11/17/2005
Last updated
11/01/2011
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