Organization
DAVIS EYE ASSOCIATES OD, PA
Active
Other names
DBA FAMILY VISION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G DAVIS OD (PRESIDENT)
(336) 765-5350
Entity
Organization
Contact information
Practice address
4514 OLEANDER DR, FAMILY VISION CLINIC, WILMINGTON, NC 28403-5012
(910) 392-4414
(910) 392-3153
Mailing address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916158
—
NC
Enumeration date
05/03/2007
Last updated
07/08/2013
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