Provider Demographics
NPI:1649483298
Name:DAVIES, HOWARD MALCOLM JR (OD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MALCOLM
Last Name:DAVIES
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7953 NEW HAMPSHIRE AVENUE
Mailing Address - Street 2:
Mailing Address - City:LANGLEY PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20783
Mailing Address - Country:US
Mailing Address - Phone:301-439-6241
Mailing Address - Fax:
Practice Address - Street 1:7953 NEW HAMPSHIRE AVENUE
Practice Address - Street 2:
Practice Address - City:LANGLEY PARK
Practice Address - State:MD
Practice Address - Zip Code:20783-4609
Practice Address - Country:US
Practice Address - Phone:301-439-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDA0695152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist