Organization
DAVID J KAIRYS ODPC
Active
Other names
Professional Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J KAIRYS OD (OWNER)
(814) 371-2211
Entity
Organization
Contact information
Practice address
5522 SHAFFER RD UNIT 127, DU BOIS, PA 15801-3319
(814) 371-2211
(814) 371-5015
Mailing address
5522 SHAFFER RD UNIT 127, DU BOIS, PA 15801-3319
(814) 371-2211
(814) 371-5015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000054
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012992050003
—
PA
01
—
05522
VBA
PA
01
—
26109
OPTUMHEALTH
PA
01
—
52270
DAVIS
PA
01
—
8143712211
VSP
PA
01
—
911047
EYEMED
PA
Enumeration date
03/21/2012
Last updated
03/21/2012
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