Dr Rick Davison and Assoc, LLC

NPI #1154521144 in Appleton, Wisconsin

Provider Information

NPI Number: 1154521144
Entity Type: Organization
Organization Name: Dr Rick Davison and Assoc, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 4301 W WISCONSIN AVE
City: Appleton
State: Wisconsin
ZIP Code: 54913-8605
Phone: (920) 731-6116

Authorized Official

Name: DR. RICHARD JOSEPH DAVISON, OD
Title: OWNER
Phone: (920) 731-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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