Provider Demographics
NPI:1477343838
Name:DAVILA OPTOMETRIC GROUP PLLC
Entity type:Organization
Organization Name:DAVILA OPTOMETRIC GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:224-623-7898
Mailing Address - Street 1:7340 CIMARRON MARKET AVE
Mailing Address - Street 2:BUILDING A, SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:224-623-7898
Mailing Address - Fax:
Practice Address - Street 1:7340 CIMARRON MARKET AVE
Practice Address - Street 2:BUILDING A, SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912
Practice Address - Country:US
Practice Address - Phone:224-623-7898
Practice Address - Fax:915-910-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty