Provider Demographics
NPI:1801849633
Name:MAY, DAVID K (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:MAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:330 N CENTURY AVE
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1147
Mailing Address - Country:US
Mailing Address - Phone:608-849-3937
Mailing Address - Fax:608-849-5177
Practice Address - Street 1:330 N CENTURY AVE
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1147
Practice Address - Country:US
Practice Address - Phone:608-849-3937
Practice Address - Fax:608-849-5177
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2674-035152W00000X, 152WC0802X, 152WP0200X, 152WX0102X
WI2674-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
U64152Medicare UPIN
WI47380-0002Medicare ID - Type Unspecified