Active NPI
Amy Elizabeth Davidson, O.D.
- Optometrist
- Plano, TX
National Provider Identifier
1164536389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5234T
- Practice address
- 810 North Central Expressway
Suite 104B Parkway Crossing
Plano, TX 75074-6736 - Phone
- (972) 423-4435
- Fax
- (972) 633-0658
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5234T | TX | Primary |
Addresses
Primary practice location
810 North Central Expressway
Suite 104B Parkway Crossing
Plano, TX 75074-6736
Mailing address
14773 Falling Leaf Dr
Frisco, TX 75035-7455
Phone (214) 383-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5234T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Eye and Cataract | Current | Accepting new patients | |
| Bridget a. Shannon, OD,PA | Optometrist | Past | Accepting new patients |
| Michael J. Niederkorn, O.D., P.a. | Optometrist | Past | Accepting new patients |
Locations
101 Ymca Dr
Ste 100
Waxahachie, TX 75165
Phone (469) 505-2020
101 Ymca Dr
Waxahachie, TX 75165
Phone (469) 430-8375
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1013483163
-
- Optometrist
- Allen, TX
- NPI 1922308196
-
- Optometrist
- Allen, TX
- NPI 1659776706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164536389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14773 FALLING LEAF DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357455",
"telephone_number": "214-383-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 NORTH CENTRAL EXPRESSWAY",
"address_2": "SUITE 104B PARKWAY CROSSING",
"city": "PLANO",
"state": "TX",
"postal_code": "750746736",
"telephone_number": "972-423-4435",
"fax_number": "972-633-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5234T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.