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Organization

TUNNEL ROAD OPTOMETRY GROUP

Active
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Organization

TUNNEL ROAD OPTOMETRY GROUP

Active
Other names
ADVANCED EYE CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER G DAVIS OD (PRESIDENT)
(336) 765-5350
Entity
Organization

Contact information

Practice address
3702 W GATE CITY BLVD, ADVANCED EYE CARE, GREENSBORO, NC 27407-4628
(336) 854-2020
(336) 852-9472
Mailing address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916691
—
NC
Enumeration date
05/03/2007
Last updated
06/03/2015
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