Davis, Tod R
Davis, Tod R is an individual health care provider with primary practice located at 8625 Sudley Rd , Manassas VA 20110-4515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Tod R can be contacted via phone (703) 361-3434.Contact Information
Primary practice address
8625 Sudley Rd
Manassas VA 20110-4515
Phone: (703) 361-3434
Fax: (703) 361-6252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 0601002358 | Virginia |
Profile Details
NPI number | 1275557670 |
---|---|
LBN Legal business name | Davis, Tod R |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275557670 | NPPES |
Virginia | Other | 317179 | ANTHEM PROVIDER ID |
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