Active NPI
Dr. N.W. Davis, P.a.
- Optometrist
- Gaffney, SC
National Provider Identifier
1316916992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 436
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DM0293 | Medicaid | SC | |
| D04369 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.