Individual provider Active NPI

Flynt E Davies, OD

  • Optometrist
  • Langley, WA
National Provider Identifier
1447875661
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61076503 Issued in WA
Practice address
15821 Sr 525
Langley, WA 98260-9780
Phone
(360) 321-4779
Fax
(360) 321-4782
NPI assigned
Jun 12, 2020
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61076503 WA Primary

Addresses

Primary practice location

15821 Sr 525
Langley, WA 98260-9780

Mailing address

15821 Sr 525
Langley, WA 98260-9780
Phone (360) 321-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20200720000188 WA Practitioner - Optometry 2062836869 Reassigns benefits to 2 organizations
Practice locations: Langley, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15821 Sr
Suite 525
Langley, WA 98260-9780
Phone (360) 321-4779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Vision Clinic, PLLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Bayview Vision Clinic Optometrist CurrentSince Feb 4, 2023 Accepting new patients
David Thomas Williams Optometrist PastSince Jul 1, 2020 Accepting new patients

Locations

15821 State Route 525
Langley, WA 98260
Phone (360) 321-4779

9101 Bridgeport Way SW
Ste C
Tacoma, WA 98499
Phone (206) 588-2254

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1447875661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 SR 525",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609780",
            "telephone_number": "360-321-4779",
            "fax_number": "360-321-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 SR 525",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609780",
            "telephone_number": "360-321-4779",
            "fax_number": "360-321-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "FLYNT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61076503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

Verify at the official NPI Registry.