| NPI | 1629349857 |
|---|---|
| Former Legal Business Name | DR GARY E DAVIDSON, OD |
| Entity Type | Organization |
| Authorized Contact | GARY E DAVIDSON President 502-895-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 0886DT) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |