Provider Demographics
NPI:1780026765
Name:DAVIS, AMALIA (OD)
Entity Type:Individual
Prefix:DR
First Name:AMALIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8500 CYPRESSWOOD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7106
Mailing Address - Country:US
Mailing Address - Phone:832-592-9650
Mailing Address - Fax:832-789-9650
Practice Address - Street 1:8500 CYPRESSWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7106
Practice Address - Country:US
Practice Address - Phone:832-592-9560
Practice Address - Fax:832-789-9650
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8178TG152WS0006X, 152WP0200X, 152WX0102X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision