Dr Jacob Burley Davis, OD | |
950 S Central Ave, Canonsburg, PA 15317-1489 | |
(724) 745-2020 | |
(724) 745-4888 |
Full Name | Dr Jacob Burley Davis |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 950 S Central Ave, Canonsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811760747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.007229 (Ohio) | Secondary |
152W00000X | Optometrist | OEG004091 (Pennsylvania) | Primary |
Provider Name | Deconcilis Eye And Vision Center, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801086913 PECOS PAC ID: 6507826351 Enrollment ID: O20041015000235 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Burley Davis, OD 950 S Central Ave, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 | Dr Jacob Burley Davis, OD 950 S Central Ave, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 |
Kylie Ann Centore, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 E Mcmurray Rd, Canonsburg, PA 15317 Phone: 724-942-1300 | |
Dr. Ashley D Mowl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 South Central Ave, Suite 1, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Deconcilis Eye And Vision Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Suite 1, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Dr. Austin Tocco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 |