Individual
DR. JEFFREY A DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
4920
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061503
—
OH
Enumeration date
06/27/2006
Last updated
01/03/2008
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