Provider Demographics
NPI:1609901461
Name:DAVID A DELPRINCIPE OD INC
Entity Type:Organization
Organization Name:DAVID A DELPRINCIPE OD INC
Other - Org Name:NORTH COAST EYE CARE, AMHERST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELPRINCIPE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-282-2020
Mailing Address - Street 1:1541 COOPER FOSTER PARK RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1203
Mailing Address - Country:US
Mailing Address - Phone:440-282-2020
Mailing Address - Fax:440-282-1256
Practice Address - Street 1:1541 COOPER FOSTER PARK RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1203
Practice Address - Country:US
Practice Address - Phone:440-282-2020
Practice Address - Fax:440-282-1256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4513152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2299070Medicaid
OH=========026OtherCARESOURCE
OH1292260001Medicare NSC
OH2299070Medicaid
OH=========026OtherCARESOURCE