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Organization

TUNNEL ROAD OPTOMETRY GROUP OD PA

Active
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Organization

TUNNEL ROAD OPTOMETRY GROUP OD PA

Active
Parent organization
TUNNEL ROAD OPTOMETRY GROUP OD PA
Other names
Davis Eye Kernersville
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUNNEL ROAD OPTOMETRY GROUP OD PA
Authorized official
ROGER G. DAVIS OD (PRESIDENT)
(336) 909-0160
Entity
Organization

Contact information

Practice address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769
Mailing address
1011 S MAIN ST, KERNERSVILLE, NC 27284-8186
(336) 993-0566
(336) 993-0567

Taxonomy

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

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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