Provider Demographics
NPI:1447875661
Name:DAVIES, FLYNT E (OD)
Entity type:Individual
Prefix:DR
First Name:FLYNT
Middle Name:E
Last Name:DAVIES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15821 SR 525
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9780
Mailing Address - Country:US
Mailing Address - Phone:360-321-4779
Mailing Address - Fax:360-321-4782
Practice Address - Street 1:15821 SR 525
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9780
Practice Address - Country:US
Practice Address - Phone:360-321-4779
Practice Address - Fax:360-321-4782
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD61076503152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist