Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Douglas Joel Davidson

Individual provider Optician · NPI 1770672842

Mr. Douglas Joel Davidson is an Optician in Moscow, Idaho. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
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Practice location Address checks out

512 S Main St
Moscow, ID 83843-2918
Phone: (208) 883-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO00000689 (WA)

Record details

NPI number1770672842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESNovember 29, 2007
Mailing address512 S Main St, Moscow, ID 83843-2918

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