Mccoy, David Jon

Mccoy, David Jon is an individual health care provider with primary practice located at 1040 Cypress Pkwy , Kissimmee FL 34759-3328. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccoy, David Jon can be contacted via phone (407) 933-2088.

Contact Information

Primary practice address
1040 Cypress Pkwy Kissimmee FL 34759-3328
Phone: (407) 933-2088
Fax: (407) 933-1968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3026 Florida

Profile Details

NPI number 1982797569
LBN Legal business name Mccoy, David Jon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 27th, 2021 - about 3 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 1982797569 NPPES
Florida MEDICAID 620196200

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