Davis, Marion Bert

Davis, Marion Bert is an individual health care provider with primary practice located at 2922 Jefferson St , Marianna FL 32446-3448. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Marion Bert can be contacted via phone (850) 526-4550.

Contact Information

Primary practice address
2922 Jefferson St Marianna FL 32446-3448
Phone: (850) 526-4550
Fax: (850) 526-1200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1401 Florida

Profile Details

NPI number 1881660827
LBN Legal business name Davis, Marion Bert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 5th, 2012 - about 13 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 1881660827 NPPES
Florida Other K6143 PC-ACE PRO 32
Florida MEDICAID 078126600 PC-ACE PRO 32
Florida Other 410016448 PC-ACE PRO 32
Florida Other 410016448 PC-ACE PRO 32
Florida Other 19031 PC-ACE PRO 32

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