IndividualActive
Alexander Shepherd, OD
NPI 1649644576 · Optometrist · Enumclaw, WA
Provider details
- NPI number
- 1649644576
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- OD60608769 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2726 Griffin Ave Ste B
Enumclaw, WA 98022-2362
Phone: (360) 825-3000
Fax: (360) 825-8408
Approximate (ZIP-level) locationGet directions
Mailing address
2726 Griffin Ave Ste B
Enumclaw, WA 98022-2362
Registry dates
- Enumerated
- 2015-11-16
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.