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Organization
DAVIS EYE ASSOCIATES OD, PA
Active
Organization
DAVIS EYE ASSOCIATES OD, PA
Active
Other names
DBA FAMILY VISION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G DAVIS OD (PRESIDENT)
(336) 765-5350
Entity
Organization
Contact information
Practice address
4514 OLEANDER DR, FAMILY VISION CLINIC, WILMINGTON, NC 28403-5012
(910) 392-4414
(910) 392-3153
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
—
5916158
—
NC
Enumeration date
05/03/2007
Last updated
07/08/2013
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