Provider Demographics
NPI:1174592562
Name:SILVER, DAVID A (OD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:SILVER
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 1:2466 E COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4011
Mailing Address - Country:US
Mailing Address - Phone:954-492-1177
Mailing Address - Fax:954-492-0352
Practice Address - Street 1:2466 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4011
Practice Address - Country:US
Practice Address - Phone:954-492-1177
Practice Address - Fax:954-492-0352
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3455152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5285ZOtherMEDICARE ID
FLU84412Medicare UPIN
FLE5285Medicare ID - Type Unspecified