Organization
DAVIS OPTICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DAVIS R.D.O. (OWNER)
(775) 826-1666
Entity
Organization
Contact information
Practice address
5053 S MCCARRAN BLVD, RENO, NV 89502-6545
(775) 826-1666
(775) 826-1729
Mailing address
5053 S MCCARRAN BLVD, RENO, NV 89502-6545
(775) 826-1666
(775) 826-1729
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
102
NV
156FC0801X
Contact Lens Fitter
102
NV
156FX1800X
Optician
Primary
102
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004116010
—
NV
Enumeration date
01/29/2008
Last updated
11/13/2012
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