Provider Demographics
NPI:1871614271
Name:MCPARTLIN, DAVID L (OD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:MCPARTLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 VIRGINIA SQ
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4947
Mailing Address - Country:US
Mailing Address - Phone:817-561-6567
Mailing Address - Fax:
Practice Address - Street 1:1420 AIRPORT FWY STE H
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6778
Practice Address - Country:US
Practice Address - Phone:817-283-2001
Practice Address - Fax:817-283-0993
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3366T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX911422OtherEYE MED & COLE MANAGED