Individual provider Active NPI

Carrie Beth Davis, MD

  • Ophthalmology Physician
  • Beachwood, OH
National Provider Identifier
1447220199
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35055662D Issued in OH
Practice address
23250 Chagrin Blvd
BLD 5 Ste 440
Beachwood, OH 44122-5470
Phone
(216) 514-1864
Fax
(216) 514-1867
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35055662D OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
BLD 5 Ste 440
Beachwood, OH 44122-5470

Mailing address

23250 Chagrin Blvd
BLDG #5 Suite 440
Beachwood, OH 44122
Phone (216) 514-1864

Other identifiers 1

IdentifierTypeStateIssuer
0873247MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdavis@clevelandeyeclinic.intellechartdirect.net

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100104000107 OH Practitioner - Ophthalmology 1759460165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Eye Consultants, Inc 40 clinicians

Practice addresses (Care Compare)

7001 S Edgerton Rd
Suite B
Brecksville, OH 44141-4206
Phone (440) 526-1974

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
81.19
Promoting interoperability
83
Improvement activities
40
Cost
78.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055662DOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients

Locations

2268 Kresge Dr
Amherst, OH 44001
Phone (440) 282-4418

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1447220199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "BLDG #5 SUITE 440",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-514-1864",
            "fax_number": "216-514-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "BLD 5 STE 440",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-514-1864",
            "fax_number": "216-514-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARRIE",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35055662D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0873247",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis@clevelandeyeclinic.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "23250 Chagrin Blvd",
            "address_2": "Bld 5 Ste 440",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.