Lisa G Wallace Davis (NPI# 1356373914, PAC ID# 2365410925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1356373914 |
| PAC ID by PECOS | 2365410925 |
| Professional Enrollment ID | I20040921000946 |
| Full Name | Lisa G Wallace Davis |
| Address |
1134 Big Bethel Rd Hampton VA 23666-1906 |
| Gender | F |
| Credential | OD |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1134 Big Bethel Rd, Hampton, VA 23666-1906 |
| Street Address |
1134 BIG BETHEL RD |
| City | HAMPTON |
| State | VA |
| Zip | 23666-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Rothfuss | Internal Medicine | 303 Butler Farm Rd, Suite 103, Hampton, VA 23666-1568 | |
| Tiffany N Jefferson | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Melody Blanco | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Charlena Cuffee | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| John D Ogram | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Lisa M Kelleher | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Peter Smith | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Saphia Beckles | Nurse Practitioner | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Brenda J Williams | Clinical Social Worker | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Ashraful Huq | Psychiatry | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Find all physicians in zip 23666 | |||
| City | HAMPTON |
| Zip Code | 23666 |
| Specialty | OPTOMETRY |
| City + Specialty | HAMPTON + OPTOMETRY |
Please comment or provide details below to improve the information on Lisa G Wallace Davis.
| 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.