Active NPI
Michael J. Davidson, O.D., P.C.
- Optometrist
- Springfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000035
- Legal business name
- MICHAEL J. DAVIDSON, O.D., P.C.
- Practice address
- 8350 Traford LN
FL 2
Springfield, VA 22152-1638 - Phone
- (703) 569-6363
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Jeffrey Davidson, O.D.
- Title
- President
- Phone
- (703) 569-6363
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000035 | VA | Primary |
Addresses
Primary practice location
8350 Traford LN
FL 2
Springfield, VA 22152-1638
Mailing address
8350 Traford LN
FL 2
Springfield, VA 22152-1638
Phone (703) 569-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050915001055 | DC | Part B Supplier - Clinic/Group Practice | 4688607096 |
Receives reassigned benefits from 5 practitioners Practice locations: Springfield, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Springfield, VA
- NPI 1710138391
4688607096
National Provider Directory
National Provider Directory- Tax ID family
- Michael J Davidson OD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Springfield, VA
- NPI 1710138391
Locations
8350 Traford Ln
Ste 2
Springfield, VA 22152
Phone (703) 569-6363
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- West Springfield, VA
- NPI 1821922758
-
- Optometrist
- Springfield, VA
- NPI 1932772944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1124190251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 TRAFORD LN",
"address_2": "FL 2",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521638",
"telephone_number": "703-569-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 TRAFORD LN",
"address_2": "FL 2",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521638",
"telephone_number": "703-569-6363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. DAVIDSON, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-569-6363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.