Organization
HARRY DAVIS, O.D. INC
Active
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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