Lisa Victoria Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000695 Issued in PA

Practice address

101 Old York Rd Ste 306
Jenkintown, PA 19046-3900

Phone

(215) 376-0306

Fax

(215) 376-0376

NPI assigned

May 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1366491672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 MOUNTAIN AVE",
            "city": "MELROSE PARK",
            "state": "PA",
            "postal_code": "190273024",
            "telephone_number": "215-782-8710",
            "fax_number": "215-782-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 306",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463900",
            "telephone_number": "215-376-0306",
            "fax_number": "215-376-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta A Dabezies, M.D.
• Nirali Desai Dave, MD
• Carolyn J Davis, LCSW
• Coreen Davis, LPC
• Latifa Davis
• Yahmemato Lensan Debleye
• Kearney Defillipo, L.AC
• Delaware Valley Vital Link Inc.
• Delaware Valley Vital-Link, Inc
• Ricardo Delgado

• Optometrist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.