Provider Demographics
NPI:1407848047
Name:ENGLISH, DAVID M (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:673 CASTLE CREEK DR EXT
Mailing Address - Street 2:SIGNATURE PLAZA SUITE 104
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7864
Mailing Address - Country:US
Mailing Address - Phone:724-778-3937
Mailing Address - Fax:724-778-3946
Practice Address - Street 1:673 CASTLE CREEK DR EXT
Practice Address - Street 2:SIGNATURE PLAZA SUITE 104
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7864
Practice Address - Country:US
Practice Address - Phone:724-778-3937
Practice Address - Fax:724-778-3946
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000627152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1074887Medicaid
PA1074887Medicaid
PA0362300001Medicare NSC
PAT27683Medicare UPIN