| Davidson-moore Eyecare | |
| 
					1824 N Main St, Hazard, KY 41701-1020  | |
| (606) 217-0920 | |
| (606) 217-0922 | 
| Full Name | Davidson-moore Eyecare | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1824 N Main St, Hazard, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306573936 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Charles Jordan Davidson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1245839000 PECOS PAC ID: 0446668545 Enrollment ID: I20210408001880  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Davidson-moore Eyecare 167 Woodland Ave, Hazard, KY 41701-2060 Ph: (606) 217-0920  | Davidson-moore Eyecare 1824 N Main St, Hazard, KY 41701-1020 Ph: (606) 217-0920  | 
Taylormade Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-436-6565  | |
Charles Jordan Davidson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1824 N Main St, Hazard, KY 41701 Phone: 606-217-0920 Fax: 606-217-0922  | |
Wm. Dwayne Sizemore, O.d., Psc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 161 Citizens Ln, Hazard, KY 41701 Phone: 606-436-3313 Fax: 606-436-2020  | |
Nicholas Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-436-6565  | |
Southeast Vision Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-487-8949 Fax: 606-487-0279  | |
Dr. Dwight L Avery, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 941 N Main Street, Hazard, KY 41701 Phone: 606-439-4010 Fax: 606-439-0880  |