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NPI Code Detail

MEDICARE: DAVIS EYE CENTER, INC

MEDICARE: DAVIS EYE CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center259OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3490003256OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20000000201574OTHERANTHEM
41023317OTHERAETNA

General Provider Information

NPI Number : 1407846215
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVIS EYE CENTER, INC
Provider Business Mailing Address
First Line : 789 GRAHAM RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-1045
Country : US
Telephone Number : 330-923-5676
Fax Number : 330-572-2450
Provider Business Practice Location Address
First Line : 789 GRAHAM RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-1045
Country : US
Telephone Number : 330-923-5676
Fax Number : 330-572-2450
Authorized Official
Title or Position : OFFICE MANAGER
Name : LINDA D COOK
Credential :
Telephone Number : 330-923-5676
Provider Enumeration Date : 10/24/2005
Last Update Date : 04/02/2020

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Directions to “DAVIS EYE CENTER, INC ” Practice Location

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