Organization
DAVID S DAVIS OD PC
Active
Other names
Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAMUEL DAVIS OD (PRESIDENT)
(702) 385-7331
Entity
Organization
Contact information
Practice address
4840 E BONANZA RD, SUITE 6, LAS VEGAS, NV 89110-3453
(702) 385-7331
(702) 385-5431
Mailing address
4840 E BONANZA RD, SUITE 6, LAS VEGAS, NV 89110-3453
(702) 385-7331
(702) 385-5431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV245
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002502022
—
NV
Enumeration date
03/27/2007
Last updated
01/08/2009
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