Organization
CROWN EYE CARE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MICHELE DAVIS O.D. (PRESIDENT)
(832) 266-9346
Entity
Organization
Contact information
Practice address
1618 W CHURCH ST, LIVINGSTON, TX 77351-9043
(936) 327-6379
(936) 327-3599
Mailing address
PO BOX 1858, LIVINGSTON, TX 77351-0035
(936) 327-6379
(936) 326-3599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5938TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096QT
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/13/2007
Last updated
11/19/2008
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