Provider Demographics
NPI:1235200882
Name:HANKINS, DAVID E (OD PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:HANKINS
Suffix:
Gender:M
Credentials:OD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 TUSKAWILLA RD
Mailing Address - Street 2:STE 107
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5030
Mailing Address - Country:US
Mailing Address - Phone:407-699-4000
Mailing Address - Fax:
Practice Address - Street 1:1340 TUSKAWILLA RD
Practice Address - Street 2:STE 107
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5030
Practice Address - Country:US
Practice Address - Phone:407-699-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC001650152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0688150001Medicare NSC
FLT84198Medicare UPIN
FL19634Medicare ID - Type Unspecified