Provider Demographics
NPI:1508839010
Name:MCGEE, DAVID W (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:MCGEE
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 1:111 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1015
Mailing Address - Country:US
Mailing Address - Phone:256-332-1712
Mailing Address - Fax:256-332-1713
Practice Address - Street 1:13675 HWY 43 SOUTH
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-2831
Practice Address - Country:US
Practice Address - Phone:256-332-1712
Practice Address - Fax:256-332-1713
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALS397TA057152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL19822Medicare ID - Type Unspecified
ALT68991Medicare UPIN