JOHN ROBERT DAVIS


Address: 4400 North Main Street, Roswell, NM 88201
Phone: 5056279872

JOHN ROBERT DAVIS (NPI# 1902943194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902943194
Entity Type Individual
Full Name JOHN ROBERT DAVIS
Credential OD
Practice Address 4400 North Main Street
Roswell
NM 88201
Mailing Address 104 Fairway Dr
Dexter
NM 88230-9635
Practice Telephone 5056279872
Mailing Telephone 5057342020
Enumeration Date 2007-01-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 228 NM Eye and Vision Services Providers

Other Providers JOHN DAVIS

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1154821049 John Davis Case Manager/Care Coordinator 627 Bailey Chapel Rd, Piketon, OH 45661-9675 2018-02-16
1619487386 John E Davis Counselor 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 2017-10-06
1093234684 John Davis Dentist 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 2017-09-14
1306384276 John Chase Davis Behavior Technician 8315 6th Pl Se, Lake Stevens, WA 98258-3688 2017-02-10
1598170276 John Davis Licensed Practical Nurse 10271 Dresden Rd, Dresden, OH 43821-9446 2014-06-21
1396174751 John Davis Sr. Registered Nurse 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 2013-11-06

Office Location

Street Address 4400 NORTH MAIN STREET
City ROSWELL
State NM
Zip Code 88201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275667990 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 4400 North Main Street, Roswell, NM 88201 2007-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902310022 Corey A Carter Specialist/Technologist, Other 117 E 19th Street, Roswell, NM 88201 2017-11-28
1326598541 Dove Medical Corporation Family Medicine 110 East 3rd Street, Roswell, NM 88201 2016-10-12
1841748381 Anali Velez Registered Nurse 300 N Kentucky, Roswell, NM 88201 2016-09-13
1831647379 Rebecca Palomino Registered Nurse 800 Marion Richards Rd, Roswell, NM 88201 2016-09-13
1215300926 Heart Path Oriental Medicine Clinic/Center 810 N Union, Roswell, NM 88201 2015-11-03
1538564745 Lacey Scott Pharmacist 1835 N. Main, Roswell, NM 88201 2014-10-30
1962815852 Marium Khan Internal Medicine 400 Military Heights Place, Roswell, NM 88201 2014-06-09
1316288913 Anaya Counseling Community/Behavioral Health 613 W 2nd St Ste 4, Roswell, NM 88201 2013-03-06
1205185386 Rosarita Brady Occupational Therapist 300 N. Kentucky, Roswell, NM 88201 2012-09-05
1922360049 Ashley Spinhirne Thompson Speech-Language Pathologist 304 N. Richardson, Roswell, NM 88201 2012-06-14
Find all providers in zip 88201

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427295740 Angela Girello Optometrist 1035 Lancaster Sq, Roswell, GA 30076-6328 2009-01-08
1285883116 Visualeyes, Inc Optometrist 2300 Holcomb Bridge Rd Ste 306, Roswell, GA 30076-3482 2008-09-16
1235398975 Tara Leigh Fowler Optometrist 930 Marietta Hwy Ste 400, Roswell, GA 30075-6754 2008-06-06
1952569089 Edward J Furey Od PC Optometrist 250 E Crossville Road, Roswell, GA 30075 2008-05-27
1346465804 Focus Eye Care Inc. Optometrist 1570 Old Alabama Rd Ste 106, Roswell, GA 30076-2108 2007-04-17
1770609893 Renae Elaina Weinick Optometrist 330 E Crossville Rd, Roswell, GA 30075-3038 2007-03-21
1952435133 Leadingham Vision Center Ltd Co Optometrist 1100 N. Main Street, Roswell, NM 88201 2007-03-16
1922104264 Naheed Ahmad Optometrist 970 Mansell Rd., Roswell, GA 30076 2006-09-15
1710092531 Terri D Eachus Optometrist 204 E College Blvd, Roswell, NM 88201 2006-08-20
1811922891 Patricia M Fitch Optometrist 1606 Se Main St, Roswell, NM 88203-5411 2006-07-11
Find all providers in ROSWELL

Competitor

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City ROSWELL
Zip Code 88201

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Dataset Information

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.

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