DR. DAVID SCOTT SHETTLE


Address: 4200 4th St N, Suite F, St Petersburg, FL 33703-4735
Phone: 7275282015

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC2753 FL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 620051601 05

Office Location

Street Address 4200 4TH ST N
SUITE F
City ST PETERSBURG
State FL
Zip Code 33703-4735

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ST PETERSBURG
Zip Code 33703

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Dataset Information

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.

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