NPIMap

Organization Active NPI

Mitchell R Davis, O.D.

  • Eyewear Supplier
  • Enola, PA
National Provider Identifier
1194908269
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OEG000095 Issued in PA
Legal business name
MITCHELL R DAVIS, O.D.
Practice address
376 E Penn Dr
Enola, PA 17025-2158
Phone
(717) 732-2423
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Mitchell Robert Davis, O.D.NPI 1497716088
Title
Owner
Phone
(717) 732-2423

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OEG000095 PA Primary

Addresses

Primary practice location

376 E Penn Dr
Enola, PA 17025-2158

Mailing address

376 E Penn Dr
Enola, PA 17025-2158
Phone (717) 732-2423

National Provider Directory

National Provider Directory

Locations

376 E Penn Dr
Enola, PA 17025
Phone (717) 732-2423

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1194908269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 E PENN DR",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170252158",
            "telephone_number": "717-732-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E PENN DR",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170252158",
            "telephone_number": "717-732-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL R DAVIS, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-732-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.