Devin J Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1352 Issued in NE

Practice address

139 W 3Rd St
Chadron, NE 69337-2313

Phone

(308) 432-2200

Fax

(308) 432-3616

NPI assigned

Feb 22, 2007

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverton Vision Center P.C.Group PAC ID 1052393519, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverton Vision Center P.C.

  • Optometrist
  • Riverton, WY
  • NPI 1962494690
  Medicare reassignment Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  dba Kyle Health Center

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment NPD
• Northwest Eye Center, PC

  • Clinic/Center
  • Chadron, NE
  • NPI 1356588933
  Authorized official Same address or phone
• Splitrock Vision Clinic P C Inc

  • Optometrist
  • Wheatland, WY
  • NPI 1235264185
  NPD (past) Authorized official
• Jopto PC

  dba The Eye Company

  • Optometrist
  • Chadron, NE
  • NPI 1821758939
  NPD (past)
• Sandrock Vision, LLC

  • Optometrist
  • Lusk, WY
  • NPI 1528218260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1013042068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 3RD ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372313",
            "telephone_number": "308-432-2200",
            "fax_number": "308-432-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W 3RD ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372313",
            "telephone_number": "308-432-2200",
            "fax_number": "308-432-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEVIN",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "200T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026126000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114581900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Sky Counseling and Consulting
• Amber Dawn Coomes
• Heather Renae Crofutt
• Crossroads Resources, LLC
• Katy Elane Dassuncao
• Dusta K Davis, APRN
• Bailey Ash Dean
• Justin W Didier
• Tama Dierks, LPN
• Ann Dockweiler, RN

• Optometrist in Chadron, NE
• Providers in Chadron, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.