NICHOLAS J DAVIS (NPI# 1508898412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508898412 |
| Entity Type | Individual |
| Full Name | NICHOLAS J DAVIS |
| Credential | O.D. |
| Practice Address |
1008 Riverburch Pkwy Dalton GA 30721-8630 |
| Practice Telephone | 7062780518 |
| Practice Fax Number | 7062759715 |
| Mailing Telephone | 7062780518 |
| Mailing Fax Number | 7062759715 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002251 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 384536109A | 05 | |
| GA | STATE LICENSE NUMBER | OPT002251 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669551511 | Nicholas Alfred Davis | Pharmacist | 601 Cedar Rd, Fort Washington, MD 20744-6604 | 2006-11-03 |
| 1225673072 | Nicholas Davis | Physical Therapist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2019-11-14 |
| 1184183568 | Nicholas Austin Davis | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-15 |
| 1588151096 | Nicholas Davis | Counselor | 214 W Main St, Frankfort, KY 40601-1806 | 2018-04-19 |
| 1669970588 | Nicholas Davis | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-01-25 |
| 1417472283 | Nicholas Davis | Student in an Organized Health Care Education/Training Program | 545 Laurel St, San Diego, CA 92101-1634 | 2017-08-13 |
| 1558817957 | Nicholas Davis | Physician Assistant | 1635 E Myrtle Ave Ste 400, Phoenix, AZ 85020-5514 | 2016-08-26 |
| 1235581737 | Nicholas Davis | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2016-07-07 |
| 1689025397 | Nicholas D Davis | Dental Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-06-23 |
| 1871964221 | Nicholas Benjamin Davis | Pharmacist | 9511 Huffmeister Rd Ste 104, Houston, TX 77095-2892 | 2015-10-12 |
| Street Address |
1008 RIVERBURCH PKWY |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136345 | Karen Mireya Gonzalez | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2017-07-08 |
| 1902941008 | Bruce L Johnson Od, Inc | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2007-02-20 |
| 1639213093 | Braun Eyecare, Inc. | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2007-02-19 |
| 1710919634 | Bruce L Johnson | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252800 | Kirk Dominick Malerbi Jr. | Optometrist | 1207 W Walnut Ave, Dalton, GA 30720-3958 | 2012-07-17 |
| 1730345265 | Senior-care Vision Services Georgia Pllc | Optometrist | 1209 Cleveland Rd, #289, Dalton, GA 30721-8674 | 2008-08-04 |
| 1255526844 | Robert Patterson | Optometrist | 1209 Cleveland Hwy, #289, Dalton, GA 30721-8674 | 2007-09-07 |
| 1588788293 | K D M Vision Center Inc | Optometrist | 2150 E Walnut Ave, Ste 10, Dalton, GA 30721-4500 | 2007-03-19 |
| 1154413672 | Ann Elizabeth Hannah | Optometrist | 401 N Thornton Ave, Dalton, GA 30720-3468 | 2006-09-29 |
| 1588673990 | Scott Edward Hannah | Optometrist | 1805 E Walnut Ave, Dalton, GA 30721-4338 | 2006-08-05 |
| 1235148875 | Charles M Smith IIi | Optometrist | 415 W Crawford St, Dalton, GA 30720-4267 | 2006-08-05 |
| 1245885201 | Suzanne Marie Johannes | Optometrist | 1341 W Walnut Ave, Dalton, GA 30720-3857 | 2019-08-07 |
| 1083136345 | Karen Mireya Gonzalez | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2017-07-08 |
| 1760608905 | Rex Karl Gross | Optometrist | 2150 E Walnut Ave, Ste. 10&11, Dalton, GA 30721-4500 | 2007-04-17 |
| Find all providers in DALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.