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Organization
DAVIS VISION CENTER
Active
Organization
DAVIS VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R DAVIS MD (CEO)
(801) 253-3080
Entity
Organization
Contact information
Practice address
1325 W SOUTH JORDAN PKWY, SUITE 103, SOUTH JORDAN, UT 84095-9060
(801) 253-3080
(801) 253-0772
Mailing address
1325 W SOUTH JORDAN PKWY, SUITE 103, SOUTH JORDAN, UT 84095-9060
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679583470
—
UT
01
—
180043150
RAILROAD MEDICARE
UT
01
—
DH0042
RRMD GROUP
UT
Enumeration date
08/08/2006
Last updated
03/11/2010
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