DAVIS EYE ASSOCIATES OD, PA (NPI# 1689896003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689896003 |
| Entity Type | Organization |
| Organization Name | DAVIS EYE ASSOCIATES OD, PA |
| Other Organization Name | DBA FAMILY VISION CLINIC |
| Practice Address |
4514 Oleander Dr Family Vision Clinic Wilmington NC 28403-5012 |
| Mailing Address |
3316 Silas Creek Pkwy Winston Salem NC 27103-3011 |
| Practice Telephone | 9103924414 |
| Practice Fax Number | 9103923153 |
| Mailing Telephone | 3367655350 |
| Mailing Fax Number | 3367650769 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | DR. ROGER G DAVIS (PRESIDENT) |
| Authorized Official Telephone | 3367655350 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916158 | 05 |
| Other Name | Type Code |
|---|---|
| DBA FAMILY VISION CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518189976 | Davis Eye Associates Od, Pa | Optometrist | 3316 Silas Creek Pkwy, Davis Eye Associates Od Pa, Winston Salem, NC 27103-3011 | 2007-05-03 |
| Street Address |
4514 OLEANDER DR FAMILY VISION CLINIC |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043661671 | Peterson Optometric Group, Pllc | Optometrist | 4514 Oleander Dr, Wilmington, NC 28403-5012 | 2016-06-24 |
| 1841577525 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4514 Oleander Dr, Wilmington, NC 28403-5012 | 2011-11-09 |
| 1417104621 | Kalene Fix | Optometrist | 4514 Oleander Dr, Wilmington, NC 28403-5012 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619431509 | William J Gleason | Optometrist | 187 Ballardvale St Ste 250, Wilmington, MA 01887-1082 | 2019-01-25 |
| 1043661671 | Peterson Optometric Group, Pllc | Optometrist | 4514 Oleander Dr, Wilmington, NC 28403-5012 | 2016-06-24 |
| 1174842363 | Travis Clarke Jenkins | Optometrist | 1729 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2010-05-27 |
| 1992982318 | Dr Ronald Pogach | Optometrist | 5503 Kirkwood Hwy, Wilmington, DE 19808-5001 | 2008-01-28 |
| 1609956846 | Delaware Eye Surgeons Pa | Optometrist | 2710 Centerville Rd, Suite 102, Wilmington, DE 19808-1644 | 2006-10-16 |
| 1467420414 | Advanced Eye Care P A | Optometrist | 213 Greenhill Ave, Suite A, Wilmington, DE 19805-1844 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295132520 | Jingya Jeanne Chen | Optometrist | 1600 Highwoods Blvd, Greensboro, NC 27410-2048 | 2014-12-02 |
| 1528313301 | Bunich Optometric Clinic Pllc | Optometrist | 1820 East Blvd., Charlotte, NC 28203 | 2012-07-18 |
| 1972868420 | Advance Eyecare Associates, O.d., P.a. | Optometrist | 15235 John J Delaney Dr Ste H, Charlotte, NC 28277-2959 | 2012-07-11 |
| 1306083803 | Ahoskie Eye Care Od Pa Dba Windsor Eye Care | Optometrist | 106 N King Street, Windsor, NC 27983-6863 | 2009-01-21 |
| 1104018134 | Professional Eye Associates Optometry,p.a. | Optometrist | 8821 Six Forks Road, Raleigh, NC 27614 | 2007-08-14 |
| 1902007131 | Hiten P Prajapati | Optometrist | 1101 Shiloh Glenn Dr, Morrisville, NC 27560-5419 | 2007-05-28 |
| 1386866762 | Tunnel Road Optometry Group | Optometrist | 3702 W Gate City Blvd, Advanced Eye Care, Greensboro, NC 27407-4628 | 2007-05-03 |
| 1083834931 | Samuel Huntington Templeman IIi | Optometrist | 214 Church St Nw, Lenoir, NC 28645-5117 | 2007-04-25 |
| 1255491528 | Knightdale Eyecare Optometric, P.a. | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2006-12-09 |
| 1780798827 | Leslie M Anderson Od Pa | Optometrist | 11235 Lawyers Rd, Charlotte, NC 28227-9355 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on DAVIS EYE ASSOCIATES OD, PA.
| 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.