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DAVIS EYE ASSOCIATES OD PA NPI 1689896003


NPI Information

NPI: 1689896003
Provider Name: DAVIS EYE ASSOCIATES OD, PA

Doing Business As: DBA FAMILY VISION CLINIC

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
4514 OLEANDER DR
FAMILY VISION CLINIC
WILMINGTON, NC
ZIP 28403
Phone: (910) 392-4414
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DAVIS EYE ASSOCIATES OD, PA is a corneal and contact management optometrist in Wilmington, NC. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DAVIS EYE ASSOCIATES OD, PA NPI is 1689896003. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Family Vision Clinic.

The provider's business location address is:

4514 OLEANDER DR
FAMILY VISION CLINIC
WILMINGTON, NC
ZIP 28403-012
Phone: (910) 392-4414
Fax: (910) 392-3153

The provider's authorized official is Roger G Davis .
The authorized official title is President and has the following contact phone number (336) 765-5350.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15916158MEDICAIDNORTH CAROLINA
22471444MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAGROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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