Davidson, Andrew L
Davidson, Andrew L is an individual health care provider with primary practice located at 115 S Tippecanoe Dr , Tipp City OH 45371-1194. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davidson, Andrew L can be contacted via phone (937) 667-1270.Contact Information
Primary practice address
115 S Tippecanoe Dr
Tipp City OH 45371-1194
Phone: (937) 667-1270
Fax: (937) 667-7198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3282 | Ohio |
Profile Details
| NPI number | 1902854714 |
|---|---|
| LBN Legal business name | Davidson, Andrew L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 27th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902854714 | NPPES |
| Ohio | Other | 3901000001 | DMEPOS |
| Ohio | Other | 22 20152 | DMEPOS |
| Ohio | Other | 29152503001 | DMEPOS |
| Ohio | Other | 000000019255 | DMEPOS |
| Ohio | MEDICAID | 0416035 | DMEPOS |
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