Davis, Krista M

Davis, Krista M is an individual health care provider with primary practice located at 4455 Highway 169 N Four Seasons Eyecare, Plymouth MN 55442-2897. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Krista M can be contacted via phone (763) 559-7358.

Contact Information

Primary practice address
4455 Highway 169 N Four Seasons Eyecare Plymouth MN 55442-2897
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001376 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 2577 Minnesota

Profile Details

NPI number 1942378468
LBN Legal business name Davis, Krista M
Credentials OD, FAAO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Nov 22nd, 2011 - about 14 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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