Individual
DR. RACHELLE LEIGH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001745
VA
152W00000X
Optometrist
Primary
2130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093Y5
BCBS PROV #
NC
05
—
5911975
—
NC
Enumeration date
06/26/2008
Last updated
10/24/2019
Update your record
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