Active NPI
Connie Alleen Davis, OD
- Optometrist
- Mobile, AL
National Provider Identifier
1558564401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-725-TA-306
- Practice address
- 3291 Bel Air Mall
Mobile, AL 36606-3207 - Phone
- (251) 476-2015
- Fax
- (251) 478-5360
- NPI assigned
- Jun 7, 2007
- Last updated
- Apr 29, 2013
- 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 | S-725-TA-306 | AL | Primary |
Addresses
Primary practice location
3291 Bel Air Mall
Mobile, AL 36606-3207
Mailing address
3291 Bel Air Mall
Mobile, AL 36606-3207
Phone (251) 476-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- University Alabama Birmingham - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3291 Bel Air Mall
Mobile, AL 36606-3202
3291 Bel Air Mall
Mobile, AL 36606-3207
Phone (251) 476-2015
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. William Bradley | Optometrist | Current | Accepting new patients |
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.
-
- Optometrist
- Mobile, AL
- NPI 1508928664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1558564401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 BEL AIR MALL",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063207",
"telephone_number": "251-476-2015",
"fax_number": "251-478-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 BEL AIR MALL",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063207",
"telephone_number": "251-476-2015",
"fax_number": "251-478-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CONNIE",
"middle_name": "ALLEEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-725-TA-306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.