Davis, Kristi K

Davis, Kristi K is an individual health care provider with primary practice located at 2770 Eureka Way Ste 100 , Redding CA 96001-0252. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Kristi K can be contacted via phone (530) 222-7271.

Contact Information

Primary practice address
2770 Eureka Way Ste 100 Redding CA 96001-0252
Fax: (530) 351-7046
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11942T California

Profile Details

NPI number 1568420214
LBN Legal business name Davis, Kristi K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 5th, 2021 - about 3 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 1568420214 NPPES
California MEDICAID SD0119420

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