Active NPI
Danford William Davis, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1063569465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008562
- Practice address
- 399 W Broadway
New York, NY 10012-4378 - Phone
- (952) 847-3903
- Fax
- (952) 847-3903
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2624 | MN | |
| Optometrist | 152W00000X | 008562 | NY | Primary |
Addresses
Primary practice location
399 W Broadway
New York, NY 10012-4378
Mailing address
6 Greeley Ter
Long Branch, NJ 07740-9314
Phone (952) 847-3903
Other practice location 1
1225 Madison Ave
New York, NY 10128-0576
Phone (212) 722-1600
Other practice location 2
551 Madison Ave
New York, NY 10022-3212
Phone (212) 319-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008526 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 2624 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1063569465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GREELEY TER",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077409314",
"telephone_number": "952-847-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 W BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124378",
"telephone_number": "952-847-3903",
"fax_number": "952-847-3903"
}
],
"practiceLocations": [
{
"address_1": "1225 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101280576",
"country_code": "US",
"telephone_number": "212-722-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "551 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100223212",
"country_code": "US",
"telephone_number": "212-319-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DANFORD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2624",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.