Individual
MR. EDWARD H DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6081 RTE 96 S, FARMINGTON, NY 14425
(585) 924-2550
(585) 924-4399
Mailing address
403 EAST ST, PITTSFORD, NY 14534-3644
(585) 387-9971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01041381
—
NY
01
—
100159CS
HMO PREFERRED CARE
NY
01
—
122288
COLE MANAGED CARE PROVIDE
NY
01
—
NY4835
EYEMED
—
Enumeration date
11/29/2005
Last updated
07/08/2007
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