Tommy Lee Davis II
Tommy Lee Davis II is an Optician in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
2125 NW Stewart PkwyRoseburg, OR 97471-1693
Phone: (541) 957-8552
Fax: (541) 957-8549
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 250110 (OR) |
|---|
Record details
| NPI number | 1487345443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 18, 2023 |
| Last updated in NPPES | May 18, 2023 |
| Certification date | May 18, 2023 |
| Mailing address | 2125 Nw Stewart Pkwy, Roseburg, OR 97471-1693 |
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