Grubbs, David A
Grubbs, David A is an individual health care provider with primary practice located at 7975 Lake Underhill Rd Ste 230, Orlando FL 32822-8204. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grubbs, David A can be contacted via phone (407) 834-7776.Contact Information
Primary practice address
7975 Lake Underhill Rd Ste 230
Orlando FL 32822-8204
Phone: (407) 834-7776
Fax: (407) 834-0973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2276 | Florida |
Profile Details
| NPI number | 1619968633 |
|---|---|
| LBN Legal business name | Grubbs, David A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 5th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619968633 | NPPES |
| Florida | MEDICAID | 078894500 |
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