Individual
DR. JACOB BURLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
950 S CENTRAL AVE, CANONSBURG, PA 15317-1489
(724) 745-2020
(724) 745-4888
Mailing address
950 S CENTRAL AVE, CANONSBURG, PA 15317-1489
(724) 745-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004091
PA
152W00000X
Optometrist
OPT.007229
OH
Other
Enumeration date
11/02/2023
Last updated
11/27/2023
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