Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS JOEL DAVIDSON
Active Sole ProprietorMR. DOUGLAS JOEL DAVIDSON is a Optician, Dispensing healthcare provider located in MOSCOW, Idaho. NPI 1770672842 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MOSCOW, ID
Registration Details
- NPI Number
- 1770672842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.860255741908 yrs)
- Last Updated
- Nov 29, 2007
- License
-
DO00000689 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
512 S MAIN STMOSCOW, ID, 838432918Browse ID providers · Browse ZIP 83843
- Phone
- 2088833000
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| TREVOR DELPHOUS | — | 1679178552 |
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.