Provider Demographics
NPI:1831439165
Name:DAVIS, ERICA NICOLE (OD, MPH, FAAO)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:NICOLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:OD, MPH, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 CASHWELL DR STE A
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4301
Mailing Address - Country:US
Mailing Address - Phone:919-778-2015
Mailing Address - Fax:919-778-4808
Practice Address - Street 1:2803 CASHWELL DR STE A
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4301
Practice Address - Country:US
Practice Address - Phone:919-778-2015
Practice Address - Fax:919-778-4808
Is Sole Proprietor?:No
Enumeration Date:2013-02-23
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist