Stephen R. Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN611 Issued in TN

Practice address

3314 Poplar Ave
Suite 1
Memphis, TN 38111-4681

Phone

(901) 324-3189

Fax

(901) 324-2851

NPI assigned

Oct 18, 2006

Last updated

Jun 3, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mid South Vision Center PLLC

  • Optometrist
  • Bartlett, TN
  • NPI 1831358068
  NPD (past) Authorized official
• Midsouth Vision Center

  • Optometrist
  • Memphis, TN
  • NPI 1043563935
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1558442129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 POPLAR AVE",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114681",
            "telephone_number": "901-324-3189",
            "fax_number": "901-324-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 POPLAR AVE",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114681",
            "telephone_number": "901-324-3189",
            "fax_number": "901-324-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS&BLUE SHIELD",
            "identifier": "0204510",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lawrence Davis, LPC-MHSP
• Sharon Lea Davis, LPC
• Shirea Davis, FNP-C
• Stephanie Ann Davis
• Stephanie T Davis, BSW
• Tamika Davis, LCSW
• Teressa Davis Davis, PHD
• Tracey A Davis, LCSW
• Tyrone Teako Davis, D.P.M.
• Vanessa Ann Davis, FNP

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.