Individual
DR. PATRICK DANIEL SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2577
Mailing address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202806144
VSP
TN
01
—
2553033 01
UNITED HEALTHCARE
TN
05
—
3946409
—
TN
01
—
4097286
BLUE CROSS
TN
01
—
51848
DAVIS VISION
TN
01
—
702040660
CARITEN
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/23/2006
Last updated
08/19/2024
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