Provider Demographics
NPI:1164427597
Name:FEIL, DAVID GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GORDON
Last Name:FEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 N AKERS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5121
Mailing Address - Country:US
Mailing Address - Phone:559-733-4372
Mailing Address - Fax:559-733-1758
Practice Address - Street 1:112 N AKERS ST
Practice Address - Street 2:SUITE A
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5121
Practice Address - Country:US
Practice Address - Phone:559-733-4372
Practice Address - Fax:559-733-1758
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG15339207W00000X
UT154949-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164427597OtherNATIONAL PROVIDER INDENTIFIER
1770527335OtherVISALIA EYE CENTER MEDICAL GROUP (NPI)
CA3374896OtherCIGNA PROVIDER ID#
CAGR0101220Medicaid
CA018407-0003OtherPACIFICARE PROVIDER ID#
CA5275841OtherMULTIPLAN PROVIDER ID#
CA116595OtherPRIVATE HEALTHCARE SYSTEM
CA73-1728125OtherGROUP PRACTICE TAX ID#
CAZZZ66317ZOtherBLUE SHIELD GROUP#
CA5511200001OtherCIGNA DMERC PRVIDER ID#
CA00G153390Medicaid
CA10949634OtherCAQH PROVIDER ID#
CA181660041OtherRAILROAD MEDICARE PROV ID
CAG15339OtherLICENSE NUMBER
CA032631OtherHEALTH NET PROVIDER ID#
CADB0436OtherRAILROAD MEDICARE GROUP#
CADB0436OtherRAILROAD MEDICARE GROUP#
CAAF5707003OtherDEA NUMBER