Larry Jon Davis is a Optometrist in St Louis, Missouri. Larry Jon Davis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry Jon Davis is 1174633564. The last update date is 2020-06-10.
Larry Jon Davis's current location address is One University Blvd, St Louis, Missouri. You can contact this provider via phone number 3145165131 and fax number 3145165507. The mailing address for Larry Jon Davis is One University Blvd, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Jon Davis |
|---|---|
| Address | One University Blvd, St Louis, Missouri |
| Phone Number | 3145165131 |
| Fax Number | 3145165507 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1174633564 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
| Address | One University Blvd |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63121 |
| Phone Number | 3145165131 |
| Fax Number | 3145165507 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T02724 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identifier code issued to Larry Jon Davis by the Centers for Medicare & Medicaid Services?
The Larry Jon Davis has been assigned the NPI (National Provider Identifier) 1174633564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Larry Jon Davis's physical address?
The Larry Jon Davis is physically located at One University Blvd, in the city of St Louis, MO, with the postal code 63121.
What is Larry Jon Davis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Jon Davis is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174633564 to Larry Jon Davis?
The Centers for Medicare & Medicaid Services originally issued the 1174633564 to Larry Jon Davis on 2006-08-30.
When was the information regarding Larry Jon Davis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry Jon Davis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-06-10.