Davis, Brian Walter

Davis, Brian Walter is an individual health care provider with primary practice located at 4270 N Eagle Rd , Boise ID 83713-0726. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Brian Walter can be contacted via phone (208) 938-2010.

Contact Information

Primary practice address
4270 N Eagle Rd Boise ID 83713-0726
Phone: (208) 938-2010
Fax: (208) 938-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1028 Nevada
Eye and Vision Services Providers / Optometrist 152W00000X ODP100516 Idaho

Profile Details

NPI number 1689234601
LBN Legal business name Davis, Brian Walter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated May 2nd, 2022 - about 3 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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