Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 0618001915 | VA |
N | 152W00000X | Optometrist | OPC3189 | FL |
Y | 207W00000X | Ophthalmologist | 0618001915 | VA |
NPI | 1003020223 |
---|---|
Provider Name | Dr. David P Todd JR. |
First Address | Henrico, VA 23294-3746 |
Second Address | Henrico, VA 23294-3746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U69699 | (02) | FL |