Provider Demographics
NPI:1235623216
Name:DAVIS, SAVANNAH SHEETS (OD)
Entity Type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:SHEETS
Last Name:DAVIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 STATE FARM RD STE A
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4713
Mailing Address - Country:US
Mailing Address - Phone:828-264-0042
Mailing Address - Fax:
Practice Address - Street 1:610 STATE FARM RD STE A
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4713
Practice Address - Country:US
Practice Address - Phone:828-264-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002661152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist