DR. DAVID SCOTT SHETTLE (NPI# 1740280130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740280130 |
Entity Type | Individual |
Full Name | DR. DAVID SCOTT SHETTLE |
Credential | O.D. |
Practice Address |
4200 4th St N Suite F St Petersburg FL 33703-4735 |
Mailing Address |
1084 Riverside Ridge Rd Tarpon Springs FL 34688-8802 |
Practice Telephone | 7275282015 |
Practice Fax Number | 7275282010 |
Mailing Telephone | 7274222940 |
Mailing Fax Number | 7275282010 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2009-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC2753 | FL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 620051601 | 05 |
Street Address |
4200 4TH ST N SUITE F |
City | ST PETERSBURG |
State | FL |
Zip Code | 33703-4735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265674733 | D Scott Shettle Od Pa | Eyewear Supplier (Equipment, not the service) | 4200 4th St N, Suite F, St Petersburg, FL 33703-4735 | 2009-03-30 |
1386827731 | Springer Chiropractic Inc. | Chiropractor | 4200 4th St N, Suite A, St Petersburg, FL 33703-4735 | 2007-12-07 |
1316081656 | Eric Springer | Chiropractor | 4200 4th St N, Suite A, St Petersburg, FL 33703-4735 | 2007-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
Find all providers in zip 33703 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265908578 | Vip Eye Care Optical Boutique At Carillon LLC | Optometrist | 12425 28th St N Ste 103, St Petersburg, FL 33716-1826 | 2018-10-15 |
1215358833 | Eye Doctors Optical Outlets Pa | Optometrist | 6927 4th St N, St Petersburg, FL 33702-6846 | 2013-12-27 |
1669604518 | Kinga Hanna Jakubowski | Optometrist | 2109 66th St N, St Petersburg, FL 33710-4711 | 2009-08-11 |
1023245040 | Shepard A. Adler, O.d.p.a. | Optometrist | 1115 62nd Ave N Ste A, St Petersburg, FL 33702-7400 | 2009-06-17 |
1255588877 | Christine Ann Manzella | Optometrist | 3520 4th St N, St Petersburg, FL 33704-1310 | 2008-08-26 |
1790976785 | Eye Doctors Optical Outlets Pa | Optometrist | 710 34th St N, St Petersburg, FL 33713-6538 | 2007-08-06 |
1225235575 | Gretta Claire Homsi | Optometrist | 10474 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2007-06-29 |
1952425811 | Bryan Robert Wexler | Optometrist | 6951 Tyrone Sq, St Petersburg, FL 33710-3936 | 2007-03-18 |
1548384522 | Thomas K Flanagan Od and Associates Pa | Optometrist | 3322 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1212 | 2007-03-16 |
1902939010 | Richard E Sorkin | Optometrist | 5100 Central Ave, St Petersburg, FL 33707-1833 | 2007-03-14 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33703 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.