| Doctor Name: | MRS. MARTHA L DAVIS |
| NPI Number: | 1043430481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPO |
| License Number: | 719 |
| Business Practice Address: | 312 S Washington St Maryville, TN - 378045800 |
| Business Phone Number: | 8659770285 |
| Business Fax Number: | 8659771459 |
| Mailing Address: | 312 S Washington St, Linda's Eyewear MARYVILLE |
| State: | TN |
| Postal Code: | 378045800 |
| Phone Number: | 8659770285 |
| Fax Number: | 8659771459 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 12/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 719 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |