person
Tommy Lee Davis II
Optician in Roseburg, Oregon
NPI 1487345443

Tommy Lee Davis II is a Optician based in Roseburg, OR and is specialized in Optician. Tommy Lee Davis II practices in Roseburg, OR. The NPI Number for Tommy Lee Davis II is 1487345443 and holds a License No. 250110 (Oregon).

The current practice location address for Tommy Lee Davis II is 2125 Nw Stewart Pkwy, Roseburg, OR and can be reached out via phone at 541-957-8552 and via fax at 541-957-8549.

Location: 2125 Nw Stewart Pkwy, Roseburg, OR, 97471-1693
person
Provider Profile Details
NPI Number
1487345443
Provider Name
Tommy Lee Davis II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2125 Nw Stewart Pkwy, Roseburg, OR, 97471-1693
Phone Number
541-957-8552
Fax Number
541-957-8549
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2125 Nw Stewart Pkwy
City
State
Zip
97471-1693
Phone Number
541-957-8552
Fax Number
541-957-8549
person
Provider Business Mailing Address Details
Address
2125 Nw Stewart Pkwy
City
State
Zip
97471-1693
Phone Number
541-957-8552
Fax Number
541-957-8549
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
250110 (Oregon)
Definition
Definition to come...
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