Individual provider Active NPI

David Lee Still, O.D., PH.D.

  • Optometrist
  • Fort Rucker, AL
National Provider Identifier
1588706428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R109 Issued in AL
Practice address
6001 Farrel Road
Usaarl
Fort Rucker, AL 36362-0577
Phone
(334) 255-0369
Fax
(334) 255-6977
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R109 AL Primary

Addresses

Primary practice location

6001 Farrel Road
Usaarl
Fort Rucker, AL 36362-0577

Mailing address

9841 Hollowbrook Dr
Pensacola, FL 32514-7117
Phone (850) 479-2591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R109ALMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588706428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 HOLLOWBROOK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147117",
            "telephone_number": "850-479-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 FARREL ROAD",
            "address_2": "USAARL",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363620577",
            "telephone_number": "334-255-0369",
            "fax_number": "334-255-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.