Davis, David Samuel

Davis, David Samuel is an sole proprietor health care provider with primary practice located at 4840 E Bonanza Rd Unit 6, Las Vegas NV 89110-3453. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, David Samuel can be contacted via phone (702) 385-7331.

Contact Information

Primary practice address
4840 E Bonanza Rd Unit 6 Las Vegas NV 89110-3453
Fax: (702) 385-5431
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NV245 Nevada

Profile Details

NPI number 1649276312
LBN Legal business name Davis, David Samuel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jan 13th, 2009 - about 16 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 1649276312 NPPES
Nevada Other 410049343 RAILROAD MEDICARE
Nevada MEDICAID 002502022 RAILROAD MEDICARE

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