# DAVIS VISION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215947023
- **Authorized official:** BRIAN R DAVIS MD (CEO)
- **Authorized official phone:** (801) 253-3080

## Contact information

- **Practice address:** 1325 W SOUTH JORDAN PKWY, SUITE 103, SOUTH JORDAN, UT 84095-9060
- **Practice address phone:** (801) 253-3080
- **Practice address fax:** (801) 253-0772
- **Mailing address:** 1325 W SOUTH JORDAN PKWY, SUITE 103, SOUTH JORDAN, UT 84095-9060
- **Mailing address phone:** (801) 352-9500
- **Mailing address fax:** (801) 352-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1679583470 | — | UT |
| 01 | — | 180043150 | RAILROAD MEDICARE | UT |
| 01 | — | DH0042 | RRMD GROUP | UT |
