Provider Demographics
NPI:1053307991
Name:SHEINKOPF, DAVID J (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:SHEINKOPF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1842
Mailing Address - Country:US
Mailing Address - Phone:508-398-6333
Mailing Address - Fax:508-394-3468
Practice Address - Street 1:279 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1842
Practice Address - Country:US
Practice Address - Phone:508-398-6333
Practice Address - Fax:508-394-3468
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0314986Medicaid
W15625OtherBCBS
151473OtherHARVARD PILGRIM
MA0314986Medicaid
W15625OtherBCBS