Davis, Stephen R.

Davis, Stephen R. is an sole proprietor health care provider with primary practice located at 3314 Poplar Ave Suite 1, Memphis TN 38111-4681. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Stephen R. can be contacted via phone (901) 324-3189.

Contact Information

Primary practice address
3314 Poplar Ave Suite 1 Memphis TN 38111-4681
Phone: (901) 324-3189
Fax: (901) 324-2851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TN611 Tennessee

Profile Details

NPI number 1558442129
LBN Legal business name Davis, Stephen R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jun 3rd, 2008 - about 18 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 1558442129 NPPES
Tennessee Other 0204510 BLUE CROSS&BLUE SHIELD

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