Roger Glen Davis
Optomitrist - Corneal and Contact Lenses
235 Harvey St
Winston Salem
, North Carolina 27103-1741
Roger Glen Davis
Optomitrist - Corneal and Contact Lenses
235 Harvey St
Winston Salem
, North Carolina 27103-1741
(336) 765-0769
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Roger Glen Davis
- 3316 Silas Creek Pkwy
- Winston Salem, NC
- Zip : 27103-3011
- Fax : (336) 765-0769
- Phone : (336) 765-5350
Second Address
- Roger Glen Davis
- 235 Harvey St
- Winston Salem, NC
- Zip : 27103-1741
- Fax : (336) 793-3475
- Phone : (336) 842-0952
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1286 | NC |
National Provider Identifier
| NPI | 1205859832 |
|---|---|
| Provider Name | Roger Glen Davis |
| First Address | Winston Salem, NC 27103-3011 |
| Second Address | Winston Salem, NC 27103-1741 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 04/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7909122 | (05) | NC |
| T98039 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.