Individual provider Active NPI

William Gil Davis, OD

  • Optometrist
  • Newton, MS
National Provider Identifier
1063482453
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
560 Issued in MS
Practice address
107 Decatur St
Newton, MS 39345-2309
Phone
(601) 683-3241
Fax
(601) 683-3233
NPI assigned
Jan 26, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 560 MS Primary

Addresses

Primary practice location

107 Decatur St
Newton, MS 39345-2309

Mailing address

14994 W Main St
Louisville, MS 39339-2616
Phone (662) 773-3494

Other practice location 1

14994 W Main St
Louisville, MS 39339-2616
Phone (662) 773-3494

Other identifiers 1

IdentifierTypeStateIssuer
00087007MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101204000007 MS Practitioner - Optometry 2567496896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

5002 Hwy 39 N
BLDG B
Meridian, MS 39301-1078
Phone (601) 483-7331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Care, PA Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Ms Eye Care PA Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Meridian Eye Care, LLC Optometrist PastSince Jul 7, 2014 Accepting new patients

Locations

2684 Highway 15
Bay Springs, MS 39422
Phone (601) 764-2120

14994 W Main St
Louisville, MS 39339
Phone (662) 446-9000

5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331

107 Decatur St
Newton, MS 39345
Phone (601) 683-3241

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: wdavis@mseyecare.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1063482453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-773-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DECATUR ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452309",
            "telephone_number": "601-683-3241",
            "fax_number": "601-683-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14994 W Main St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393392616",
            "country_code": "US",
            "telephone_number": "662-773-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "GIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087007",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MS

Sources for this page

Verify at the official NPI Registry.