Glenn Alan Davies, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T003631 Issued in NY

Practice address

500 Kreag Rd
Pittsford, NY 14534-3705

Phone

(585) 249-8300

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245450675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 FAIRPORT RD",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144451918",
            "telephone_number": "585-248-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KREAG RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343705",
            "telephone_number": "585-249-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "GLENN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T003631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xingjia Cui, M.D., M.P.H. MS
• Lauren Leigh D'Hont
• Holly Daniels
• Susan Elise Dantoni, M.D.
• Resham Datta, MD
• Joshua Dawson
• DD Pitcher LLC (Pittsford Oral, Facial & Implant Surgery)
• Amy B Debiase, MS, SLP/CCC
• Marc Deeley, OD
• Peter T Deloe, DC

• Optometrist in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Optometrist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.