Provider Demographics
NPI:1225012073
Name:ALAN, DAVID P (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:ALAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:203 NORTH REDWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:MASONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15461
Mailing Address - Country:US
Mailing Address - Phone:724-583-7793
Mailing Address - Fax:724-583-9515
Practice Address - Street 1:203 N REDWOOD ST
Practice Address - Street 2:
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-1668
Practice Address - Country:US
Practice Address - Phone:724-583-7793
Practice Address - Fax:724-583-9515
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000488152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist