Mark A. Davis, O.D.
Individual provider Active NPI Optometrist · Boaz, AL
NPI 1124154505 · NPPES record last updated Feb 1, 2008
Key facts
- NPI
- 1124154505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- S-532-TA-292 (AL)
- Practice address
- 510 N Main St
Boaz, AL 35957-1432 - Phone
- (256) 593-1986
- Fax
- (256) 593-1976
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 N Main St
Boaz, AL 35957-1432
Phone (256) 593-1986
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120110000628 | AL | Practitioner - Optometry | 5597872945 |
Receives reassigned benefits from 1 practitioner Practice locations: Boaz, AL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-532-TA-292 | AL | Yes |
Addresses
Primary practice location
510 N Main St
Boaz, AL 35957-1432
Mailing address
510 N Main St
Boaz, AL 35957-1432
Phone (256) 593-1986
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.