Daughtry, David R

Daughtry, David R is an individual health care provider with primary practice located at 801 E Center St , Lexington NC 27292-4401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Daughtry, David R can be contacted via phone (336) 249-8901.

Contact Information

Primary practice address
801 E Center St Lexington NC 27292-4401
Fax: (336) 248-2695
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2220 North Carolina

Profile Details

NPI number 1003102633
LBN Legal business name Daughtry, David R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Jun 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003102633 NPPES
North Carolina MEDICAID 5918628

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