Organization
CAROLYN J. DAVIS
Active
Other names
ProCare Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN J. DAVIS O.D. (OPTOMETRIST/ OWNER)
(937) 339-7956
Entity
Organization
Contact information
Practice address
19 S WESTON RD, TROY, OH 45373-2515
(937) 339-7956
(937) 339-6860
Mailing address
19 S WESTON RD, TROY, OH 45373-2515
(937) 339-7956
(937) 339-6860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7402675
AETNA
OH
Enumeration date
07/10/2007
Last updated
02/13/2009
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