Macdonald, David L

Macdonald, David L is an sole proprietor health care provider with primary practice located at 266 Main St , Old Saybrook CT 06475-2397. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Macdonald, David L can be contacted via phone (860) 304-4066.

Contact Information

Primary practice address
266 Main St Old Saybrook CT 06475-2397
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1007 Connecticut

Profile Details

NPI number 1740282896
LBN Legal business name Macdonald, David L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Jun 19th, 2013 - about 11 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 1740282896 NPPES
Connecticut MEDICAID 004060919

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