Nicholas J Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002251 Issued in GA

Practice address

1008 Riverburch Pkwy
Dalton, GA 30721-8630

Phone

(706) 278-0518

Fax

(706) 275-9715

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruce L Johnson OD, IncGroup PAC ID 1850318270, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.87 of 100Reported as individual

Quality

45.75

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bruce L Johnson OD, Inc

  dba Braun EyeCare

  • Optometrist
  • Dalton, GA
  • NPI 1902941008
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1508898412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-278-0518",
            "fax_number": "706-275-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-278-0518",
            "fax_number": "706-275-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384536109A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OPT002251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama Genell Dasinger, PT OCS
• David H. Drucker, M.D.
• David J Cassidy DMD, PC
• Ann H Davies, LCSW
• Jada Davis
• Rita-Marie Davis, CNM
• Stephen M. Davis, LPC, LMFT
• Tawana Rochelle Davis, LPN
• April Michelle Dawson
• Penelope Dawson, LPC

• Optometrist in Dalton, GA
• Providers in Dalton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.

Verify at the official NPI Registry.