Devore, Douglas W

Devore, Douglas W is an individual health care provider with primary practice located at 820 E Lee St , Enterprise AL 36330-2011. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Devore, Douglas W can be contacted via phone (334) 393-2020.

Contact Information

Primary practice address
820 E Lee St Enterprise AL 36330-2011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007697 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X R-332 Alabama

Profile Details

NPI number 1104813542
LBN Legal business name Devore, Douglas W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104813542 NPPES
Illinois MEDICAID 046007697

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