Individual provider Active NPI

Don Kent Davis Jr., M.D.

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1023254190
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
100791 Issued in AK
Practice address
135 W Dimond Blvd Ste 107
Anchorage, AK 99515-1907
Phone
(907) 563-3911
Fax
(907) 563-3764
NPI assigned
Dec 19, 2008
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 100791 AK Primary

Addresses

Primary practice location

135 W Dimond Blvd Ste 107
Anchorage, AK 99515-1907

Mailing address

580 W 8TH St
Tower II, Floor III
Jacksonville, FL 32209-6533
Phone (904) 244-9361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003471 AK Practitioner - Ophthalmology 5193949675 Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 W Dimond Blvd
Suite 107
Anchorage, AK 99515-1907
Phone (907) 563-3911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
6.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
22.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vision 49, LLC Ophthalmology PastSince May 26, 2024 Accepting new patients
Alliance Behavioral Medicine,LLC PastSince Sep 1, 2009 Accepting new patients

Organizations & group practices 2

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.

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": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1023254190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "TOWER II, FLOOR III",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-244-9361",
            "fax_number": "904-244-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W DIMOND BLVD STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151907",
            "telephone_number": "907-563-3911",
            "fax_number": "907-563-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DON",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "100791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.