Kristi K Davis Od Inc

LBN: Kristi K Davis Od Inc
Kristi K Davis Od Inc is an health care organization with primary practice located at 2515 Park Marina Dr Suite 201, Redding CA 96001-2831. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kristi K Davis Od Inc can be contacted via phone (530) 222-7271, or through Davis, Kristi Kay via phone (530) 222-7271.

Contact Information

Primary practice address
2515 Park Marina Dr Suite 201 Redding CA 96001-2831
Phone: (530) 222-7271
Fax: (530) 222-5282
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kristi Kay Doctor of Optometry (OD)
Phone: (530) 222-7271

Health care specialties

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

Profile Details

NPI number 1104094127
LBN Legal business name Kristi K Davis Od Inc
DBA Doing business as
Authorized official Davis, Kristi Kay Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104094127 NPPES
California MEDICAID SD0119420

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