| NPI | 1679708598 |
|---|---|
| Former Legal Business Name | DR. JACQUELINE G. DAVIS, OPTOMETIST, INC |
| Entity Type | Organization |
| Authorized Contact | SYLVIA L JONES Optometrist 614-471-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5628) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |