Donald G. Davisson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0000001216 Issued in TN

Practice address

175 Beasley Dr
Dickson, TN 37055-2841

Phone

(615) 441-3908

Fax

(615) 441-3436

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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 TN

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407998636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BEASLEY DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552841",
            "telephone_number": "615-441-3908",
            "fax_number": "615-441-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BEASLEY DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552841",
            "telephone_number": "615-441-3908",
            "fax_number": "615-441-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISSON",
        "first_name": "DONALD",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000001216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA INSURANCE",
            "identifier": "SPECTERA",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina L Dattola
• Isabella Marie Davenport, PTA
• Amanda Davidson, COTA/L
• Michelle Lea Davis, LPC
• Tonya Sue Davis, APRN-BC
• DDW and Associates, PLLC
• Peyton Dean
• Cynthia Dawn Dearborn, RN
• Amanda S Decker, FNP
• Chansamone Noi Dee, APN

• Optometrist in Dickson, TN
• Providers in Dickson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.