David R. Culver, O.D.
Individual provider Active NPI Optometrist · Macomb, IL
NPI 1720074396 · NPPES record last updated Sep 6, 2012
Key facts
- NPI
- 1720074396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 46-0006825 (IL)
- Practice address
- 222 S Randolph St
Macomb, IL 61455-0415 - Phone
- (309) 833-4391
- Fax
- (309) 833-1691
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-0006825 | IL | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46-0006825 | IL | Yes |
Addresses
Primary practice location
222 S Randolph St
Macomb, IL 61455-0415
Mailing address
222 S Randolph St
Macomb, IL 61455-0415
Phone (309) 833-4391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015252001 | Other | IL | DMERC |
| 410021980 | Other | IL | RAILROAD MEDICARE |
| 272221 | Other | IL | HEALTHLINK |
Other names
- Dr. David R. Culver
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.