Davis, Chad
Davis, Chad is an individual health care provider with primary practice located at 110 College St Suite B, Athens AL 35611-2714. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Davis, Chad can be contacted via phone (256) 233-2393.Contact Information
Primary practice address
110 College St Suite B
Athens AL 35611-2714
Phone: (256) 233-2393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S993TA554 | Alabama |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | S993TA554 | Alabama |
Profile Details
| NPI number | 1750348868 |
|---|---|
| LBN Legal business name | Davis, Chad |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Apr 7th, 2008 - about 17 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 | 1750348868 | NPPES |
| Alabama | MEDICAID | 051503429 |
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