Provider Demographics
NPI:1285627893
Name:SHOW, DENISE MURPHREE (OD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MURPHREE
Last Name:SHOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:MURPHREE
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:SHOW VISION, LLC
Mailing Address - Street 2:758 MONUMENT DR.
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-1849
Mailing Address - Country:US
Mailing Address - Phone:334-694-9001
Mailing Address - Fax:334-517-4668
Practice Address - Street 1:SHOW VISION, LLC
Practice Address - Street 2:758 MONUMENT DRIVE
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1849
Practice Address - Country:US
Practice Address - Phone:334-694-9001
Practice Address - Fax:334-517-4668
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS831TA373152W00000X
ALS831-TA373152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL171970Medicaid
AL171970MCDMedicaid
AL000029217Medicaid
102I417946OtherMEDICARE PTAN
AL171970Medicaid
AL1231980001Medicare NSC