# TUNNEL ROAD OPTOMETRY GROUP OD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUNNEL ROAD OPTOMETRY GROUP OD PA
- **Other names:** Davis Eye Kernersville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679012918
- **Legal business name:** TUNNEL ROAD OPTOMETRY GROUP OD PA
- **Authorized official:** ROGER G. DAVIS OD (PRESIDENT)
- **Authorized official phone:** (336) 909-0160

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 02/20/2017