Davis, Mark Allan

Davis, Mark Allan is an individual health care provider with primary practice located at 19113 Detroit Rd , Rocky River OH 44116-1730. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Mark Allan can be contacted via phone (440) 895-3030.

Contact Information

Primary practice address
19113 Detroit Rd Rocky River OH 44116-1730
Phone: (440) 895-3030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4346 Ohio

Profile Details

NPI number 1841268034
LBN Legal business name Davis, Mark Allan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 26th, 2020 - about 5 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 1841268034 NPPES
Ohio MEDICAID 0922872

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