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
Fax: (703) 361-6252
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275557670 NPPES
Virginia Other 317179 ANTHEM PROVIDER ID

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