Organization Active NPI

C M Davis OD PLLC

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1154445963
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5803TG Issued in TX
Legal business name
C M DAVIS OD PLLC
Practice address
6002 Slide Road Suite P-8
Lubbock, TX 79414
Phone
(806) 771-3926
Fax
(806) 771-6986
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Clayton Michael Davis, O.D.
Title
Owner
Phone
(806) 771-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5803TG TX Primary

Addresses

Primary practice location

6002 Slide Road Suite P-8
Lubbock, TX 79414

Mailing address

PO Box 68354
Lubbock, TX 79414-8354
Phone (806) 771-3926

National Provider Directory

National Provider Directory

Locations

5109 82nd St
Unit 1103
Lubbock, TX 79424

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1154445963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68354",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794148354",
            "telephone_number": "806-771-3926",
            "fax_number": "806-771-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SLIDE ROAD SUITE P-8",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79414",
            "telephone_number": "806-771-3926",
            "fax_number": "806-771-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C M DAVIS OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-771-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5803TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.