Individual provider Active NPI

Allison Elizabeth-Ezell Davies, O.D.

  • Optometrist
  • Fenton, MI
National Provider Identifier
1013390921
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004894 Issued in MI
Practice address
2472 S Long Lake Rd
Fenton, MI 48430-1462
Phone
(810) 714-2020
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004894 MI Primary

Addresses

Primary practice location

2472 S Long Lake Rd
Fenton, MI 48430-1462

Mailing address

2472 S Long Lake Rd
Fenton, MI 48430-1462
Phone (810) 714-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001017 MI Practitioner - Optometry 0648584706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linden Family Eyecare PCGroup PAC ID 0345532032, 2 clinicians

Practice addresses (Care Compare)

123 E Broad St
Linden, MI 48451-9126
Phone (810) 735-9988

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
General Optical Company Optometrist CurrentSince Jul 7, 2015 Accepting new patients
Eye Care Company Optometrist CurrentSince Apr 10, 2022 Accepting new patients
Linden Family Eyecare PC CurrentSince Jun 9, 2025 Accepting new patients

Locations

1235 S Center Rd
Ste 16
Burton, MI 48509
Phone (810) 744-1950

3140 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 593-1000

2472 S Long Lake Rd
Fenton, MI 48430
Phone (810) 714-2020

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1013390921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 S LONG LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301462",
            "telephone_number": "810-714-2020",
            "fax_number": "810-714-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 S LONG LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301462",
            "telephone_number": "810-714-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH-EZELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.