Provider Demographics
NPI:1952329955
Name:ALEXANDER, DONALD K (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:K
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 PLAZA ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6747
Mailing Address - Country:US
Mailing Address - Phone:419-423-7244
Mailing Address - Fax:419-423-7245
Practice Address - Street 1:940 PLAZA ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6747
Practice Address - Country:US
Practice Address - Phone:419-423-7244
Practice Address - Fax:419-423-7245
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3211152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0319551Medicaid
OH0319551Medicaid
OH0437802Medicare PIN
OH0474690001Medicare NSC