Individual
AUSTIN DONN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Mailing address
46 DAVIS LN, CLARION, PA 16214-4047
(814) 227-4714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003882
PA LICENSE
PA
Enumeration date
06/18/2021
Last updated
07/05/2022
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