Ira Nb Davis Jr. (NPI# 1053526996, PAC ID# 2365602042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053526996 |
| PAC ID by PECOS | 2365602042 |
| Professional Enrollment ID | I20120404000909 |
| Full Name | Ira Nb Davis Jr. |
| Address |
Navy Exchange Millington TN 38054-5021 |
| Phone Number | 9018734913 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| Navy Exchange, Millington, TN 38054-5021 | 9018734913 | |
| Navy Exchange, Naval Support Activity Blg S 752, Millington, TN 38054-5021 | 9018734913 |
| Street Address |
NAVY EXCHANGE |
| City | MILLINGTON |
| State | TN |
| Zip | 38054-5021 |
| City | MILLINGTON |
| Zip Code | 38054 |
| Specialty | OPTOMETRY |
| City + Specialty | MILLINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Ira Nb Davis Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.