Individual provider Active NPI

Preston Heath Davis, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1467804641
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9006TG Issued in TX
Practice address
21502 Merchants Way
Katy, TX 77449-2512
Phone
(281) 579-6777
Fax
(281) 578-6534
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9006TG TX Primary

Addresses

Primary practice location

21502 Merchants Way
Katy, TX 77449-2512

Mailing address

21502 Merchants Way
Katy, TX 77449-2512
Phone (281) 579-6777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address preston.davis@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160823003100 TX Practitioner - Optometry 6507151040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel M Gold MD PAGroup PAC ID 6608856158, 11 clinicians

Practice addresses (Care Compare)

208 W Knox St
Ennis, TX 75119-4026
Phone (903) 731-4653

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9006TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Gold MD PA CurrentSince Aug 21, 2025 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

208 W Knox St
Ennis, TX 75119
Phone (469) 456-0059

501 E Kolstad St
#B
Palestine, TX 75801
Phone (903) 723-3250

501 E Kolstad St
Palestine, TX 75801
Phone (903) 723-3250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467804641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492512",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492512",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PRESTON",
        "middle_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9006TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "preston.davis@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "21502 Merchants Way",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774492512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.