Kristi K Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11942T Issued in CA

Practice address

2770 Eureka Way Ste 100
Redding, CA 96001-0252

Phone

(530) 222-7271

Fax

(530) 351-7046

NPI assigned

May 3, 2006

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

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 1

Other names 1

• Kristi Kay Patten Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Pacific University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kristi K Davis OD IncGroup PAC ID 9436211141, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kristi K Davis OD Inc

  • Optometrist
  • Redding, CA
  • NPI 1104094127
  Medicare reassignment Care Compare group NPD Authorized official
• Henry D Patterson, OD a Professional Optometric Corporation

  dba Patterson Optometric Eyecare

  • Optometrist
  • Burney, CA
  • NPI 1306103221
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1568420214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-222-7271",
            "fax_number": "530-222-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-222-7271",
            "fax_number": "530-351-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTI",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11942T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "PATTEN",
            "middle_name": "KAY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Davis
• Delaney Davis
• Gina Ann Davis, RN, NP, PMHNP, MSN
• Jessica Jean Davis
• Jon Martin Davis, MFTI
• Kyle Patrick Davis, MD
• Lindsay Marie Davis
• Monica Davis
• Nicole Joy Davis, REGISTERED NURSE
• Paul Richard Davis, D.O.

• Optometrist in Redding, CA
• Providers in Redding, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.