Organization
TUNNEL ROAD OPTOMETRY GROUP
Active
Parent organization
TUNNEL ROAD OPTOMETRY GROUP
Other names
JEFFERSON VILLAGE EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUNNEL ROAD OPTOMETRY GROUP
Authorized official
ROGER G DAVIS O.D. (PRESIDENT)
(336) 909-0061
Entity
Organization
Contact information
Practice address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769
Mailing address
1600 HIGHWOODS BLVD, GREENSBORO, NC 27410-2048
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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