Provider Demographics
NPI:1326119991
Name:DAVID EDWARD HANKINS OD PA
Entity Type:Organization
Organization Name:DAVID EDWARD HANKINS OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-699-4000
Mailing Address - Street 1:1340 TUSKAWILLA RD
Mailing Address - Street 2:SUITE 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:407-699-5051
Practice Address - Street 1:1340 TUSKAWILLA RD
Practice Address - Street 2:SUITE 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:407-699-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC001650152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19634OtherBCBS PROVIDER #
FL110042OtherEYEMED PROVIDER #
0688150001Medicare NSC
FL110042OtherEYEMED PROVIDER #
FLT84198Medicare UPIN