David William Fox, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE-005935 T Issued in PA

Practice address

127 Main St
Wellsboro, PA 16901-1414

Phone

(570) 724-4756

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Therapy & Education Services, LLC

  • Speech-Language Pathologist
  • Wellsboro, PA
  • NPI 1780374298
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1821028754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011414",
            "telephone_number": "570-724-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011414",
            "telephone_number": "570-724-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-005935 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008721660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Thomas Eisenhauer Jr., MD
• Brenda Valetta Fabian, PT
• Krista Marie Falk, CRNP
• Lisa Vaughn Feil, PSY.D.
• George Ann Foreman, RN
• Margaret S Frock, CRNP
• Jason R Fry, BSL/MS
• Grady D. Gafford, M.D.
• Amy Geiser
• Genesis Rehabilitation

• Optometrist in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.