Glenn Davis is a Ophthalmology in Pulaski, Virginia. Glenn Davis practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Glenn Davis is 1083724512. The last update date is 2013-10-11.
Glenn Davis's current location address is 1510 Bob White Blvd, Pulaski, Virginia. You can contact this provider via phone number 5409801965 and fax number 5409800032. The mailing address for Glenn Davis is 1510 Bob White Blvd, Pulaski, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Davis |
|---|---|
| Address | 1510 Bob White Blvd, Pulaski, Virginia |
| Phone Number | 5409801965 |
| Fax Number | 5409800032 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083724512 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2013-10-11 |
Provider Mailing Address Detail
| Address | 1510 Bob White Blvd |
|---|---|
| City | Pulaski |
| State | Virginia (VA) |
| Post Code | 243014406 |
| Phone Number | 5409801965 |
| Fax Number | 5409800032 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101036189 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10104238 | VA | -- | |
| 10126991 | VA | -- |
Post Comment/ Review Below
What is the Glenn Davis's 1083724512?
The Glenn Davis's NPI (National Provider Identifier) Number is 1083724512. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn Davis is geographically located?
The Glenn Davis is physically situated at the following location: 1510 Bob White Blvd, Pulaski, VA, 243014406.
What is Glenn Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glenn Davis is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083724512 to Glenn Davis?
The Centers for Medicare & Medicaid Services assigned the 1083724512 to Glenn Davis on 2006-08-30.
When was the information regarding Glenn Davis most recently updated?
The details pertaining to the Glenn Davis, including its address, specialty, and other relevant information, were last refreshed on 2013-10-11.