Organization Active NPI

Davis Eye PC

Doing business as Clariti Advanced Vision Correction

  • Ophthalmology Physician
  • Bedford, IN
National Provider Identifier
1316718117
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DAVIS EYE PC
Doing business as
Clariti Advanced Vision Correction
Davis Eye Institute
Practice address
1901 16TH St Ste 2
Bedford, IN 47421-2742
Phone
(812) 279-0148
Fax
(812) 279-5155
NPI assigned
Jan 10, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Drew DavisNPI 1891086989
Title
Owner
Phone
(765) 635-5767

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1901 16TH St Ste 2
Bedford, IN 47421-2742

Mailing address

1901 16TH St Ste 2
Bedford, IN 47421-2742
Phone (561) 501-1961

Other practice location 1

481 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 331-8181

Other names 2

  • Clariti Advanced Vision Correction Doing business as
  • Davis Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206000337 IN Part B Supplier - Clinic/Group Practice 3779926845 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, IN; Bloomington, IN

National Provider Directory

National Provider Directory

Locations

1901 16th St
Ste 2
Bedford, IN 47421
Phone (812) 279-0148

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1316718117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 16TH ST STE 2",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212742",
            "telephone_number": "561-501-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 16TH ST STE 2",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212742",
            "telephone_number": "812-279-0148",
            "fax_number": "812-279-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035005",
            "country_code": "US",
            "telephone_number": "812-331-8181",
            "fax_number": "812-331-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-635-5767"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clariti Advanced Vision Correction",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.