Davis, David Samuel
Davis, David Samuel is an sole proprietor health care provider with primary practice located at 4840 E Bonanza Rd Unit 6, Las Vegas NV 89110-3453. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, David Samuel can be contacted via phone (702) 385-7331.Contact Information
Primary practice address
4840 E Bonanza Rd Unit 6
Las Vegas NV 89110-3453
Phone: (702) 385-7331
Fax: (702) 385-5431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NV245 | Nevada |
Profile Details
| NPI number | 1649276312 |
|---|---|
| LBN Legal business name | Davis, David Samuel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 13th, 2009 - 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 | 1649276312 | NPPES |
| Nevada | Other | 410049343 | RAILROAD MEDICARE |
| Nevada | MEDICAID | 002502022 | RAILROAD MEDICARE |
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