Individual
DR. CHRISTINE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
955 PIERREMONT RD STE 400, SHREVEPORT, LA 71106-2096
(318) 868-6118
(318) 666-9927
Mailing address
955 PIERREMONT RD STE 400, SHREVEPORT, LA 71106-2096
(318) 868-6118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1892-828AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2505882
—
LA
01
—
847833
MEDICARE
LA
Enumeration date
02/09/2006
Last updated
10/19/2020
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