Organization
LYDIA J DAVIS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA J DAVIS O.D. (PRESIDENT)
(610) 436-6000
Entity
Organization
Contact information
Practice address
835 PAOLI PIKE, WEST CHESTER, PA 19380-4550
(610) 436-6000
(610) 436-7506
Mailing address
835 PAOLI PIKE, WEST CHESTER, PA 19380-4550
(610) 436-6000
(610) 436-7506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102799264 0001
—
PA
Enumeration date
04/10/2014
Last updated
04/10/2014
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