Mark A. Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-532-TA-292 Issued in AL

Practice address

510 N Main St
Boaz, AL 35957-1432

Phone

(256) 593-1986

Fax

(256) 593-1976

NPI assigned

Feb 27, 2007

Last updated

Feb 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Lessley Davis, O.D.

  • Optometrist
  • Gadsden, AL
  • NPI 1043526445
  Medicare reassignment

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.

• Mark a. Davis, O.D.

  • Optometrist
  • Boaz, AL
  • NPI 1821266735
  Authorized official Same address or phone

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1124154505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571432",
            "telephone_number": "256-593-1986",
            "fax_number": "256-593-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571432",
            "telephone_number": "256-593-1986",
            "fax_number": "256-593-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-532-TA-292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L. Clifton, M.D.
• Douglas Wayne Clink, M.D.
• Ashley Nicole Colquitt, CRNP
• Davis Spine and Sport Recovery LLC
• Connor Lee Davis
• Kyle Dean
• Matilde Vinoya Dela Cruz, CRNP
• Kristen Delauney, AU.D.
• Diversicare of Boaz, LLC (Diversicare of Boaz)
• Thomas Watson Downes III, M.D.

• Optometrist in Boaz, AL
• Providers in Boaz, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.