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DORA L DAVIS OD PA

Eye and Vision Services Providers Optometrist Corneal and Contact Management

Provider NPI: 1528265477

Organization Information:
Organization Name:  DORA L DAVIS OD PA
Organization is not Subpart
Authorized Official:  DORA L DAVIS  OPTOMETRIST BUSINESS OWNER  620-624-4371

Practice Location:
1401 W 15TH ST  LIBERAL, KS 67901-2275 US
Tel: 620-624-4371  Fax: --

Business Mailing Address:
1401 W 15TH ST  LIBERAL, KS 67901-2275 US
Tel: 620-624-4371  Fax: --

NPI Information:
NPI: 1528265477
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N152WC0802XEye and Vision Services Providers
Optometrist
Corneal and Contact Management
N152WL0500XEye and Vision Services Providers
Optometrist
N152WP0200XEye and Vision Services Providers
Optometrist
N152WS0006XEye and Vision Services Providers
Optometrist
N152WV0400XEye and Vision Services Providers
Optometrist
N152WX0102XEye and Vision Services Providers
Optometrist
N156FC0800XEye and Vision Services Providers
Technician/Technologist
N156FC0801XEye and Vision Services Providers
Technician/Technologist
N156FX1100XEye and Vision Services Providers
Technician/Technologist
N156FX1101XEye and Vision Services Providers
Technician/Technologist
N156FX1201XEye and Vision Services Providers
Technician/Technologist
N156FX1202XEye and Vision Services Providers
Technician/Technologist
N156FX1800XEye and Vision Services Providers
Technician/Technologist
N156FX1900X
Y152W00000XEye and Vision Services Providers
Optometrist
KSKS1681

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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