Stephanie Michele Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5938TG Issued in TX

Practice address

200 Ogletree Dr
Livingston, TX 77351-6420

Phone

(936) 328-5600

Fax

(936) 328-8601

NPI assigned

Apr 22, 2007

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Female

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

Other names 1

• Dr. Stephanie Michele Dollak Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Southern College of Optometry, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Invision Eyecare PLLCGroup PAC ID 4284798687, 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.

• Invision Eyecare PLLC

  • Optometrist
  • Conroe, TX
  • NPI 1275799165
  Medicare reassignment Care Compare group NPD
• Crown Eye Care Center, P.C.

  • Optometrist
  • Livingston, TX
  • NPI 1649450149
  NPD (past) Authorized official

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1336367937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 VICKSBURG DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519575",
            "telephone_number": "936-328-5600",
            "fax_number": "936-328-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OGLETREE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516420",
            "telephone_number": "936-328-5600",
            "fax_number": "936-328-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5938TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82229Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DOLLAK",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crown Eye Care Center, P.C.
• Muge A Cummings, DO
• CVS Pharmacy Inc (CVS Pharmacy 07229)
• Jaclynn Denice Darnell, PTA
• Shelley Leann Davidson, M.S. CCC/SLP
• Day N Night Medical Supply L.P
• Tajanee Jazzlyn Day
• DCP Health LLC
• Loy Lamar Deason, L.P.C.
• Debra K. Merriman, Inc

• Optometrist in Livingston, TX
• Providers in Livingston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.