Individual
DR. MARK ALLAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19113 DETROIT RD, ROCKY RIVER, OH 44116-1730
(440) 895-3030
Mailing address
2932 WOOSTER RD, ROCKY RIVER, OH 44116-2974
(440) 895-3030
(440) 895-3031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0922872
—
OH
Enumeration date
03/14/2006
Last updated
03/26/2020
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