Organization
3-D VISION INCORPORATED
Active
Other names
Judy L Davis DO
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L DAVIS DO (PRESIDENT)
(219) 531-1999
Entity
Organization
Contact information
Practice address
807 GLENDALE BLVD, VALPARAISO, IN 46384-2023
(219) 531-1999
(219) 465-7569
Mailing address
PO BOX 2023, 807 GLENDALE BLVD, VALPARAISO, IN 46384-2023
(219) 531-1999
(219) 465-7569
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02001245
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090726
BCBS
IN
05
—
100376090
—
IN
01
—
180024221
TRAV MEDICARE
—
Enumeration date
01/18/2007
Last updated
07/16/2008
Update your record
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