Individual
DEVIN J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
139 W 3RD ST, CHADRON, NE 69337-2313
(308) 432-2200
(308) 432-3616
Mailing address
139 W 3RD ST, CHADRON, NE 69337-2313
(308) 432-2200
(308) 432-3616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1352
NE
152W00000X
Optometrist
200T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026126000
—
NE
05
—
114581900
—
WY
Enumeration date
02/22/2007
Last updated
10/03/2012
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