Individual
DR. DAVID R. CULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
222 S RANDOLPH ST, MACOMB, IL 61455-0415
(309) 833-4391
(309) 833-1691
Mailing address
222 S RANDOLPH ST, MACOMB, IL 61455-0415
(309) 833-4391
(309) 833-1691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46-0006825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015252001
DMERC
IL
01
—
272221
HEALTHLINK
IL
01
—
410021980
RAILROAD MEDICARE
IL
Enumeration date
09/20/2005
Last updated
09/06/2012
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