Organization Active NPI

Dr. N.W. Davis, P.a.

  • Optometrist
  • Gaffney, SC
National Provider Identifier
1316916992
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
436 Issued in SC
Legal business name
DR. N.W. DAVIS, P.A.
Practice address
300 N Logan St
Gaffney, SC 29341-2320
Phone
(864) 489-6593
Fax
(864) 489-5040
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Norden W Davis Sr., O.D.
Title
President
Phone
(864) 489-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 436 SC Primary

Addresses

Primary practice location

300 N Logan St
Gaffney, SC 29341-2320

Mailing address

PO Box 490
Gaffney, SC 29342-0490
Phone (864) 489-6593

Other identifiers 2

IdentifierTypeStateIssuer
DM0293MedicaidSC
D04369MedicaidSC

National Provider Directory

National Provider Directory

Locations

300 N Logan St
Gaffney, SC 29341
Phone (864) 489-6593

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1316916992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293420490",
            "telephone_number": "864-489-6593",
            "fax_number": "864-489-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412320",
            "telephone_number": "864-489-6593",
            "fax_number": "864-489-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. N.W. DAVIS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NORDEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-489-6593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0293",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D04369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.