Active NPI
Linda C Davis, OD
- Optometrist
- Las Vegas, NV
National Provider Identifier
1477113207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1025
- Practice address
- 4840 E Bonanza Rd Ste 6
Las Vegas, NV 89110-3453 - Phone
- (702) 385-7331
- Fax
- (702) 385-5431
- NPI assigned
- Jun 14, 2019
- Last updated
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1025 | NV | Primary |
Addresses
Primary practice location
4840 E Bonanza Rd Ste 6
Las Vegas, NV 89110-3453
Mailing address
4840 E Bonanza Rd Ste 6
Las Vegas, NV 89110-3453
Phone (702) 385-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4840 E Bonanza Rd
Suite 6
Las Vegas, NV 89110-3453
Phone (702) 385-7331
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1025 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S Davis OD PC | Optometrist | Current | Accepting new patients |
Locations
4840 E Bonanza Rd
Ste 6
Las Vegas, NV 89110
Phone (702) 385-7331
Interoperability endpoints
- linda.davis@direct.revolutionehr.com
Organizations & group practices 1
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": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1477113207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 E BONANZA RD STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103453",
"telephone_number": "702-385-7331",
"fax_number": "702-385-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 E BONANZA RD STE 6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103453",
"telephone_number": "702-385-7331",
"fax_number": "702-385-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LINDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.