Individual
CAROLYN J. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1861 TOWNE PARK DR STE A, TROY, OH 45373-2067
(937) 339-7956
(937) 339-6860
Mailing address
1861 TOWNE PARK DR STE A, TROY, OH 45373-2067
(937) 339-7956
(937) 339-6860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4494
OH
152W00000X
Optometrist
T1150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0981059
—
OH
Enumeration date
10/26/2006
Last updated
10/08/2013
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