Kristi K Davis OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11942T Issued in CA

Legal business name

KRISTI K DAVIS OD INC

Practice address

2515 Park Marina Dr
Suite 201
Redding, CA 96001-2831

Phone

(530) 222-7271

Fax

(530) 222-5282

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Kristi Kay Davis, ODNPI 1568420214

Title

Owner

Phone

(530) 222-7271

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Kristi K Davis, OD

  • Optometrist
  • Redding, CA
  • NPI 1568420214
  Medicare reassignment Care Compare group NPD Authorized official
• Jody R Bickford, O.D.

  • Optometrist
  • Redding, CA
  • NPI 1699868653
  Medicare reassignment Care Compare group NPD
• Luke David Page, O.D.

  • Optometrist
  • Redding, CA
  • NPI 1760176077
  Medicare reassignment Care Compare group NPD
• Bobetta Jeanne Berthelsen, MD

  • Ophthalmology Physician
  • Burney, CA
  • NPI 1396753315
  NPD (past)
• Henry Daniel Patterson, O.D., M.S.

  • Optometrist
  • Burney, CA
  • NPI 1164710745
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1104094127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PARK MARINA DR",
            "address_2": "SUITE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012831",
            "telephone_number": "530-222-7271",
            "fax_number": "530-222-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PARK MARINA DR",
            "address_2": "SUITE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012831",
            "telephone_number": "530-222-7271",
            "fax_number": "530-222-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI K DAVIS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-222-7271",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11942T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kremer Family Chiropractic Inc
• Courtney Kreps
• Michael Krigbaum, CST
• Purushotham Krishnappa, MD
• Kristen Stewart, DDS, Inc
• Sahaile Kristoffersen, DO
• Allen Krohn, M.D.
• Misty Krtek, MFT
• Linda L. Krueger, NP FNP-C
• Kaylee Ann Tran Kryzer

• Optometrist in Redding, CA
• Providers in Redding, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.