Individual
DR. HARRY DAVIS
Active
Individual
DR. HARRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5021-T1898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278253
—
OH
01
—
23034
SPECTERA
OH
01
—
311811075
WORKMAN COMP
OH
01
—
33287
COORDINATED VISION CARE
OH
01
—
410047132
RAILROAD MEDICARE
OH
01
—
4396320001
ADMINSTAR FEDERAL
OH
01
—
7986032
AETNA
OH
01
—
OH1898
EYEMED
OH
Enumeration date
03/16/2006
Last updated
03/08/2012
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