Davison Road Optical Inc
A Medicare group practice based in Lockport, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284615857), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4284615857
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040528000450 | NY | Part B Supplier - Clinic/Group Practice | 1326161035 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Davison Road Optical, Inc.
- Optometrist
- Lockport, NY
- NPI 1326161035
Practice locations
- Lockport, NY1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Kathryn Gahagan, O.D.
- Optometrist
- Lockport, NY
- NPI 1124431739
-
Duane Snyder, OD
- Optometrist
- Lockport, NY
- NPI 1346242955
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.