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NPI 1487345443

IndividualActive

Tommy Davis

NPI 1487345443 · Optician · Roseburg, OR

Provider details

NPI number: 1487345443
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Sex: Male
Sole proprietor: No
License: 250110 (OR)

Practice location

2125 Nw Stewart Pkwy

Roseburg, OR 97471-1693

Phone: (541) 957-8552

Fax: (541) 957-8549

More OR providers

Mailing address

2125 Nw Stewart Pkwy

Roseburg, OR 97471-1693

Registry dates

Enumerated: 2023-05-18
Last updated: 2023-05-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tommy Davis — NPI 1487345443, Roseburg, OR | NPI Central