Provider Demographics
NPI:1922470665
Name:DAVID O'LEARY, OD, PC
Entity Type:Organization
Organization Name:DAVID O'LEARY, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:O'LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-913-7616
Mailing Address - Street 1:5066 PINNACLE SQ
Mailing Address - Street 2:STE 106
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3185
Mailing Address - Country:US
Mailing Address - Phone:205-655-3329
Mailing Address - Fax:205-449-6503
Practice Address - Street 1:5066 PINNACLE SQ
Practice Address - Street 2:STE 106
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3185
Practice Address - Country:US
Practice Address - Phone:205-655-3329
Practice Address - Fax:205-449-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS780TA242152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty