Active NPI
Brenda A Davis, O.D.
- Optometrist
- Madison, WI
National Provider Identifier
1497827661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2117
- Practice address
- 7428 Mineral Point Rd
Madison, WI 53717-1710 - Phone
- (608) 833-4242
- Fax
- (608) 833-4248
- NPI assigned
- Nov 14, 2006
- 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 | 2117 | WI | Primary |
Addresses
Primary practice location
7428 Mineral Point Rd
Madison, WI 53717-1710
Mailing address
7428 Mineral Point Rd
Madison, WI 53717-1710
Phone (608) 833-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497827661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7428 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537171710",
"telephone_number": "608-833-4242",
"fax_number": "608-833-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7428 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537171710",
"telephone_number": "608-833-4242",
"fax_number": "608-833-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRENDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.