Taylor Michael Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009365 Issued in NY

Practice address

1300 Ulster Ave Ste 122
Kingston, NY 12401-1571

Phone

(184) 533-6587

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• See & Style of Bronx Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1134394455
  Medicare reassignment NPD
• Vision Quest of Bruckner Corp.

  • Eyewear Supplier
  • Bronx, NY
  • NPI 1003968819
  Medicare reassignment
• Vision World of the Bronx Inc

  • Eyewear Supplier
  • Bronx, NY
  • NPI 1215102553
  Medicare reassignment

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1013586015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CLARENDON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ULSTER AVE STE 122",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011571",
            "telephone_number": "184-533-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAYLOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Darvid, RN
• Andrea Monique Dassie
• Dayna Davi, FNP-BC
• David Lee DDS PLLC
• Leigh-Ann Helen Davies, LMSW
• Mark Henry De Nies, PT
• Ann Deangelis
• Alissa Debaun
• Michele Debrosky, FNP-BC
• Decesare Chiropractic Office PC

• Optometrist in Kingston, NY
• Providers in Kingston, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.