Davis, Edward H

Davis, Edward H is an individual health care provider with primary practice located at 6081 Rte 96 S , Farmington NY 14425. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Edward H can be contacted via phone (585) 924-2550.

Contact Information

Primary practice address
6081 Rte 96 S Farmington NY 14425
Phone: (585) 924-2550
Fax: (585) 924-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004835 New York

Profile Details

NPI number 1811970445
LBN Legal business name Davis, Edward H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811970445 NPPES
New York Other 100159CS HMO PREFERRED CARE
New York MEDICAID 01041381 HMO PREFERRED CARE
New York Other NY4835 HMO PREFERRED CARE
New York Other 122288 HMO PREFERRED CARE

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