Davis, Mark Keith

Davis, Mark Keith is an individual health care provider with primary practice located at 1742 N Loop 1604 E Suite 118, San Antonio TX 78232-1593. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Mark Keith can be contacted via phone (210) 403-9050.

Contact Information

Primary practice address
1742 N Loop 1604 E Suite 118 San Antonio TX 78232-1593
Phone: (210) 403-9050
Fax: (210) 403-9939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3460 Texas

Profile Details

NPI number 1699760603
LBN Legal business name Davis, Mark Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Mar 24th, 2026 - about 7 months 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 1699760603 NPPES
Texas Other 00000072FC BCBS
Texas MEDICAID 161053701 BCBS
Texas Other 80575Q BCBS
Texas Other 200122447 BCBS
Texas MEDICAID 100404603 BCBS
Texas Other 136734195824 BCBS
Texas Other 200122447 BCBS

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