Individual provider Active NPI

Michael Jeffrey Davidson, O.D.

  • Optometrist
  • Springfield, VA
National Provider Identifier
1316901499
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000035 Issued in VA
Practice address
8350 Traford LN
Springfield, VA 22152-1638
Phone
(703) 569-6363
Fax
(703) 569-3536
NPI assigned
Apr 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000035 VA Primary

Addresses

Primary practice location

8350 Traford LN
Springfield, VA 22152-1638

Mailing address

8350 Traford LN
Springfield, VA 22152-1638
Phone (703) 569-6363

Other identifiers 1

IdentifierTypeStateIssuer
9233512MedicaidVA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100525000594 DC Practitioner - Optometry 4385677798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8350 Traford LN
Suite 2
Springfield, VA 22152-1671
Phone (703) 569-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Eyecare Center Optometrists, P.C. Optometrist Current Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist CurrentSince Jul 1, 1998 Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist CurrentSince Feb 1, 1979 Accepting new patients
Goodman Eyecare Center, LLC Optometrist PastSince Aug 27, 2012 Accepting new patients
Merrifield Optometry, LLC Optometrist PastSince Jan 7, 2013 Accepting new patients
Gainesville Optometry, LLC Optometrist PastSince Aug 27, 2012 Accepting new patients
Miller Eyecare of Springfield, PLLC Optometrist PastSince Aug 1, 2012 Accepting new patients
Alexandria Optometry, PLLC Optometrist PastSince Dec 3, 2012 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist PastSince Feb 1, 2016 Accepting new patients

Locations

8350 Traford Ln
Ste 2
Springfield, VA 22152
Phone (703) 569-6363

8350 Traford Ln
West Springfield, VA 22152
Phone (703) 569-6363

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316901499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521638",
            "telephone_number": "703-569-6363",
            "fax_number": "703-569-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521638",
            "telephone_number": "703-569-6363",
            "fax_number": "703-569-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9233512",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.