Individual provider Active NPI

Christopher P Davolos, OD

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1013961663
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001292 Issued in DE
Practice address
213 Greenhill Ave
Suite a
Wilmington, DE 19805-1844
Phone
(302) 656-8867
Fax
(302) 656-8594
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001292 DE Primary
Optometrist 152W00000X OEG001481 PA

Addresses

Primary practice location

213 Greenhill Ave
Suite a
Wilmington, DE 19805-1844

Mailing address

213 Greenhill Ave
Suite a
Wilmington, DE 19805-1844
Phone (302) 740-3262

Other identifiers 1

IdentifierTypeStateIssuer
102555509 0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060525000083 DE Practitioner - Optometry 8527081678 Reassigns benefits to 2 organizations
I20090602000335 PA Practitioner - Optometry 8527081678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric R. Miller, OD, PCGroup PAC ID 3476591397, 5 clinicians
Bear Eye Care LLCGroup PAC ID 3870027774, 3 clinicians

Practice addresses (Care Compare)

57 Jenners Village Ctr
West Grove, PA 19390-8102
Phone (610) 869-4200

725 Pulaski Hwy
Bear, DE 19701-1236
Phone (302) 834-2020

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
97.1
Improvement activities
40
Cost
77.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001292DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R. Miller, OD, PC Optometrist CurrentSince May 6, 2009 Accepting new patients
Bear Eye Care LLC Optometrist CurrentSince Jul 10, 2024 Accepting new patients
Advanced Eye Care P a CurrentSince Dec 4, 2005 Accepting new patients
Eric R. Miller, OD, PC PastSince May 6, 2009 Accepting new patients
Bear Eye Care Optometrist Past Accepting new patients

Locations

725 Pulaski Hwy
Bear, DE 19701
Phone (302) 834-2020

213 Greenhill Ave
Ste A
Wilmington, DE 19805
Phone (302) 656-8562

213 Greenhill Ave
Wilmington, DE 19805
Phone (302) 656-8867

57 Jenners Village Ctr
West Grove, PA 19390
Phone (610) 869-4200

Interoperability endpoints

  • Direct secure messaging: millereyecare3@directaddress.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1013961663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GREENHILL AVE",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-740-3262",
            "fax_number": "302-740-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GREENHILL AVE",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-656-8867",
            "fax_number": "302-656-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOLOS",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001292",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102555509 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.