Taylor Damian Davis
Taylor Damian Davis is an Optometry in Vadnais Heights, Minnesota. Qualified in 2021, 5 years ago. Practices with Shoptikal LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 5
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
971 County Road E EVadnais Heights, MN 55127-7114
Phone: (651) 877-1009
Fax: (651) 666-2974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 3724 (MN) |
|---|
Record details
| NPI number | 1306411731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2021 |
| Last updated in NPPES | May 27, 2021 |
| Certification date | May 27, 2021 |
| Mailing address | 10411 Grand Valley Ln, Woodbury, MN 55129-4261 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Shoptikal Llc — 192 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Vadnais Heights
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Dr. Erik Christopher Brendtro, OD
850 County Road E E, Vadnais Heights, MN 55127-7117 · (651) 486-7303
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Shoptikal LLC
971 County Road E E, Vadnais Heights, MN 55127-7114 · (920) 429-2111