Organization Active NPI

Lindsay T Davis MD PLLC

  • Ophthalmology Physician
  • West Haven, CT
National Provider Identifier
1073246823
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LINDSAY T DAVIS MD PLLC
Practice address
655 Saw Mill Rd Ste 5
West Haven, CT 06516-3964
Phone
(203) 934-2222
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Dr. Lindsay Taylor Davis, MDNPI 1982920997
Title
Physician Owner
Phone
(512) 554-9436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

655 Saw Mill Rd Ste 5
West Haven, CT 06516-3964

Mailing address

655 Saw Mill Rd Ste 5
West Haven, CT 06516-3964
Phone (203) 934-2222

Other identifiers 2

IdentifierTypeStateIssuer
1982920997OtherNPI 1
1073246823OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000328 CT Part B Supplier - Clinic/Group Practice 3072980705 Receives reassigned benefits from 1 practitioner
Practice locations: West Haven, CT

National Provider Directory

National Provider Directory

Locations

655 Sawmill Rd
Ste 5
West Haven, CT 06516
Phone (203) 934-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1073246823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD STE 5",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-934-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD STE 5",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-934-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY T DAVIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "512-554-9436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1982920997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1073246823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.