Joshua G Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100167 Issued in ID

Practice address

1201 S 25TH E
Ammon, ID 83406-5729

Phone

(208) 524-8978

NPI assigned

Jan 24, 2009

Last updated

Jan 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Eyecare PLLCGroup PAC ID 4284867888, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Eyecare PLLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1992138432
  Medicare reassignment Care Compare group NPD
• Center for Sight PLLC

  • Ophthalmology Physician
  • Idaho Falls, ID
  • NPI 1861567919
  Medicare reassignment NPD
• JD Optometrics, LLC

  • Clinic/Center
  • Ammon, ID
  • NPI 1790027332
  Authorized official Same address or phone

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1548408891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 25TH E",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065729",
            "telephone_number": "208-524-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 25TH E",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065729",
            "telephone_number": "208-524-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSHUA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-24",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtnie Cutler
• Christopher Dahle, DPT
• Tanna Jane Dalling, RESPITE
• Cassie Davis
• Clarence Davis, LSW
• Pamela Davis, CPSS
• Delayna Day
• Stephen A Denagy, M4915
• Jodi Lynn Dennett
• Mark D Denney, OD

• Optometrist in Ammon, ID
• Providers in Ammon, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.