Organization
DAVIDSON-MOORE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JORDAN DAVIDSON OD (OWNER/DOCTOR)
(606) 217-0920
Entity
Organization
Contact information
Practice address
1824 N MAIN ST, HAZARD, KY 41701-1020
(606) 217-0920
(606) 217-0922
Mailing address
167 WOODLAND AVE, HAZARD, KY 41701-2060
(606) 217-0920
(606) 217-0922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
09/15/2022
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