Organization
HARRY DAVIS, O.D. INC
Active
Other names
Professional Vision Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY B. DAVIS O.D. (PRESIDENT)
(937) 592-5005
Entity
Organization
Contact information
Practice address
1711 S MAIN ST, BELLEFONTAINE, OH 43311-1509
(937) 592-5005
(937) 592-5481
Mailing address
1711 S MAIN ST, BELLEFONTAINE, OH 43311-1509
(937) 592-5005
(937) 592-5481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278253
—
OH
01
—
300724335004
MEDICAL MUTUAL
OH
01
—
7986032
AETNA
OH
Enumeration date
05/01/2008
Last updated
03/22/2012
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