| NPI | 1679012918 |
|---|---|
| Doing Business As | DAVIS EYE KERNERSVILLE |
| Entity Type | Organization |
| Authorized Contact | ROGER G. DAVIS President 336-909-0160 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |