Jeffrey A Davisson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4920 Issued in OH

Practice address

33 Elva CT
Vandalia, OH 45377-1828

Phone

(937) 898-3641

Fax

(937) 898-4322

NPI assigned

Jun 27, 2006

Last updated

Jan 3, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vandalia Optometry LLCGroup PAC ID 2163443763, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vandalia Optometry LLC

  • Optometrist
  • Vandalia, OH
  • NPI 1285679761
  Medicare reassignment Care Compare group NPD
• Associated Eye Physicians and Surgeons, Inc

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1164432431
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1316974942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELVA CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771828",
            "telephone_number": "937-898-3641",
            "fax_number": "937-898-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELVA CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771828",
            "telephone_number": "937-898-3641",
            "fax_number": "937-898-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISSON",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Crim
• Jeremy Michael Crouch, MD
• Curt's Specialities LLC
• Kimberley A. Davidson, LPN
• Angela E Davis, O.D.
• Brittany Elyse Dawson
• Jennifer Lynn Dawson, LPN
• Sheila Dean
• Toby Deck, LICDC
• Neva Carissa Dehart, CNM

• Optometrist in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.