Individual
TONYA RENEA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
WALMART VISION CENTER, 7520 GARNERS FERRY RD, COLUMBIA, SC 29209
(803) 783-8348
(803) 783-0715
Mailing address
143 VALLEJO CIR, COLUMBIA, SC 29206-1437
(803) 608-4918
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
462
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
734
SC
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
03/24/2023
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