Individual
RICK W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1000 JAMES EPPS ROAD, SUITE 1, BRANSON, MO 65616-2030
(417) 334-7291
(417) 334-6156
Mailing address
1000 JAMES EPPS ROAD, SUITE 1, BRANSON, MO 65616-2030
(417) 334-7291
(417) 334-6156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02423
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107899
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/06/2005
Last updated
12/26/2007
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