Organization
PATHWAY EYE ATHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD L DAVIS O.D. (PRESIDENT)
(256) 233-2393
Entity
Organization
Contact information
Practice address
110 COLLEGE ST, SUITE B, ATHENS, AL 35611-2714
(256) 233-2393
Mailing address
110 COLLEGE ST, SUITE B, ATHENS, AL 35611-2714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S993TA554
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529910920
—
AL
Enumeration date
04/04/2008
Last updated
12/28/2022
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