Active NPI
Nicholas K Davis, OD
- Optometrist
- Webster, NY
National Provider Identifier
1184672776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T0028701
- Practice address
- 900 Holt Rd
Empire Vision Centers Wegmans Plaza
Webster, NY 14580-9102 - Phone
- (585) 872-2200
- Fax
- (585) 872-2314
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 | T0028701 | NY | Primary |
Addresses
Primary practice location
900 Holt Rd
Empire Vision Centers Wegmans Plaza
Webster, NY 14580-9102
Mailing address
2921 Erie Blvd E
Syracuse, NY 13224-1430
Phone (315) 445-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0028701 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Empire Vision Center, Inc | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1184672776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HOLT RD",
"address_2": "EMPIRE VISION CENTERS WEGMANS PLAZA",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145809102",
"telephone_number": "585-872-2200",
"fax_number": "585-872-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICHOLAS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T0028701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.