# DAVIS EYE ASSOCIATES OD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA FAMILY VISION CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689896003
- **Authorized official:** DR. ROGER G DAVIS OD (PRESIDENT)
- **Authorized official phone:** (336) 765-5350

## Contact information

- **Practice address:** 4514 OLEANDER DR, FAMILY VISION CLINIC, WILMINGTON, NC 28403-5012
- **Practice address phone:** (910) 392-4414
- **Practice address fax:** (910) 392-3153
- **Mailing address:** 3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
- **Mailing address phone:** (336) 765-5350
- **Mailing address fax:** (336) 765-0769

## 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:** 05/03/2007
- **Last updated:** 07/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5916158 | — | NC |