1568576767

Everything you always wanted to know about SHANKS TODD MICHAEL O.D. but were afraid to ask.

SHANKS TODD MICHAEL O.D.

You can also download the this 1568576767 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
SHANKS TODD MICHAEL O.D.
Gender:
Male
Enumeration date:
2006-08-18
Last update date:
2011-12-20
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
152W00000X Optometrist TX 5650T

Phone Numbers

Type Number
Mailing Address Telephone Number 3256910101
Practice Location Address Telephone Number 3256910101
Mailing Address Fax Number 3256918950
Practice Location Address Fax Number 3256918950

Addresses

Type Address City State Postal Country
Mailing Address 3225 S 27TH ST ABILENE TX 79605 TX
Practice Location Address 3225 S 27TH ST ABILENE TX 79605 TX

Other NPI Records that share a phone number

NPI Name Address State City
1558478461 SHAFFER, SHELDA
Individual
3225 S 27TH ST TX ABILENE
1811005028 NICOLINI, ANGELA
Individual
3225 S 27TH ST TX ABILENE
1881702017 NICOLINI ENTERPRISES, INC.
Organization
3225 S 27TH ST TX ABILENE
1912299470 ABILENE PROFESSIONAL EYECARE A
Organization
3225 S 27TH ST TX ABILENE

Other NPI Records that share an address

NPI Name Address State City
1558478461 SHAFFER, SHELDA
Individual
3225 S 27TH ST TX ABILENE
1811005028 NICOLINI, ANGELA
Individual
3225 S 27TH ST TX ABILENE
1881702017 NICOLINI ENTERPRISES, INC.
Organization
3225 S 27TH ST TX ABILENE
1912299470 ABILENE PROFESSIONAL EYECARE A
Organization
3225 S 27TH ST TX ABILENE