Organization
VANDALIA OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA E DAVIS O.D. (OWNER/OPTOMETRIST)
(937) 898-3641
Entity
Organization
Contact information
Practice address
33 ELVA CT, VANDALIA, OH 45377-1828
(937) 898-3641
(937) 898-4322
Mailing address
33 ELVA CT, VANDALIA, OH 45377-1828
(937) 898-3641
(937) 898-4322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VO2509379
—
OH
Enumeration date
06/18/2006
Last updated
01/08/2008
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