Cheryl L Davidson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2000160780 Issued in MO

Practice address

1000 Des Peres Rd Ste 105
Saint Louis, MO 63131-2062

Phone

(314) 628-9100

Fax

(844) 235-0998

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Davidson Optometry P.C.Group PAC ID 9234378613, 3 clinicians

Davidson Vision Therapy LLCGroup PAC ID 1557772936, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Davidson Optometry PC

  • Optometrist
  • Saint Louis, MO
  • NPI 1427393925
  Medicare reassignment Care Compare group NPD Authorized official
• Davidson Vision Therapy LLC

  • Vision Therapy Optometrist
  • Des Peres, MO
  • NPI 1629681176
  Medicare reassignment Care Compare group NPD Authorized official
• Doell Davidson & Associates Optometry PC

  • Optometrist
  • Saint Louis, MO
  • NPI 1780723411
  NPD (past)
• Mark D Peckham OD PC

  • Optometrist
  • Festus, MO
  • NPI 1346419645
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1205997640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-628-9100",
            "fax_number": "844-235-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-628-9100",
            "fax_number": "844-235-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000160780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315013102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly Kate David, MD
• Kristen Marguerite Davidge, M.D., MSC
• Davidson Optometry PC
• Amelia Layne Davidson, MD
• Anne Davidson
• Jesse T Davidson IV, MD
• Katelyn Nicole Davidson, PA
• Lindsay Davidson, CNM
• Lisa Davidson
• Lyndsay Davidson

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.