Organization
HARRY DAVIS O.D. , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY B DAVIS O.D. (PRESIDENT)
(937) 653-5005
Entity
Organization
Contact information
Practice address
888 E COURT ST, URBANA, OH 43078-1835
(937) 653-5005
(937) 653-5363
Mailing address
888 E COURT ST, URBANA, OH 43078-1835
(937) 653-5005
(937) 653-5363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278253
—
OH
01
—
300724335004
MEDICAL MUTUAL
OH
01
—
7986032
AETNA
OH
Enumeration date
11/16/2007
Last updated
11/16/2007
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