Healthcare Provider Details

I. General information

NPI: 1942464185
Provider Name (Legal Business Name): DAVINCI EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 01/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 LOUIS DR SUITE 203-A
WARMINSTER PA
18974-2844
US

IV. Provider business mailing address

600 LOUIS DR SUITE 203-A
WARMINSTER PA
18974-2844
US

V. Phone/Fax

Practice location:
  • Phone: 215-443-8580
  • Fax: 215-672-7526
Mailing address:
  • Phone: 215-443-8580
  • Fax: 215-672-7526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001479
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN E HESS
Title or Position: OPTOMETRIST
Credential: OD
Phone: 215-443-8580