Raymond Walter Corry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1705 Issued in IA

Practice address

310 W Locust St
Davenport, IA 52803-2806

Phone

(563) 324-2020

Fax

(563) 323-0949

NPI assigned

Jan 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Care Pavilion PLC

  • Optometrist
  • Davenport, IA
  • NPI 1083684211
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295714343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032806",
            "telephone_number": "563-324-2020",
            "fax_number": "563-323-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032806",
            "telephone_number": "563-324-2020",
            "fax_number": "563-323-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "RAYMOND",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004341",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37841",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Core Health Care
• Cornerstone Community Living LLC
• McKenzie Bette Cornilsen, CLC, SBD
• Maria Judith Correa-Kaiser, PH.D.
• Gregg D Corrigan, DPM
• James Andrew Corsiglia, DC
• Nancy Stefany Cortes, PA-C
• Costas L. Constantinou, M.D., P.C
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Optometrist in Davenport, IA
• Providers in Davenport, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.