Harold E Davis & Terry Alan Trust Etal

NPI #1265621361 in Oak Lawn, Illinois

Provider Information

NPI Number
1265621361
Entity Type
Organization
Organization Name
Harold E Davis & Terry Alan Trust Etal
Primary Specialty
Optometrist
Enumeration Date
Oct 15, 2007
Last Updated
Jul 1, 2025

Practice Location

Address
4663 W 95TH ST
ZIP Code
60453-2540
Phone
(708) 636-0600

Authorized Official

Name
MS. JASON DAVIS
Title
ADMINISTRATIVE ASST.
Phone
(708) 636-0600

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization
Optometrist

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