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DAVID S DAVIS OD PC NPI 1306964382


NPI Information

NPI: 1306964382
Provider Name: DAVID S DAVIS OD PC

Doing Business As: VISION SOURCE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
4840 E BONANZA RD
SUITE 6
LAS VEGAS, NV
ZIP 89110
Phone: (702) 385-7331
Get Directions

DAVID S DAVIS OD PC is an optometrist in Las Vegas, NV. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DAVID S DAVIS OD PC NPI is 1306964382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vision Source.

The provider's business location address is:

4840 E BONANZA RD
SUITE 6
LAS VEGAS, NV
ZIP 89110-453
Phone: (702) 385-7331
Fax: (702) 385-5431

The provider's authorized official is David Samuel Davis .
The authorized official title is President and has the following contact phone number (702) 385-7331.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/8/2009.


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
1152W00000XOptometristNV245NEVADAYes

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
1U34739MEDICARE UPIN
2002502022MEDICAIDNEVADA
30655370001MEDICARE NSCNEVADA
4V37443MEDICARE ID-TYPE UNSPECIFIEDNEVADA

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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