Individual
AUSTIN DONN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
Update your record
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