Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JORDAN DAVIDSON, OD
ActiveCHARLES JORDAN DAVIDSON, OD is a Optometrist healthcare provider located in HAZARD, Kentucky. NPI 1245839000 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HAZARD, KY
Registration Details
- NPI Number
- 1245839000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2020 (5.7692779143742 yrs)
- Last Updated
- Sep 15, 2022
- License
-
2203DT (KY)
Practice Information
- Address
-
1824 N MAIN STHAZARD, KY, 417011020Browse KY providers · Browse ZIP 41701
- Phone
- 6062170920
- Fax
- 6062170922
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in HAZARD, KY
| Name | Credential | NPI |
|---|---|---|
| DR. DWIGHT L AVERY | OD | 1992883243 |
| NICHOLAS TAYLOR | OD | 1356022966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.