Organization Active NPI

William M Davidson PC

  • Eyewear Supplier
  • Andalusia, AL
National Provider Identifier
1609053784
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
S-355-TA-027 Issued in AL
Legal business name
WILLIAM M DAVIDSON PC
Practice address
500 Westgate PLZ
Andalusia, AL 36420-2525
Phone
(334) 222-8561
Fax
(334) 222-5032
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. William M Davidson, OD
Title
President
Phone
(334) 222-8561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X S-355-TA-027 AL Primary

Addresses

Primary practice location

500 Westgate PLZ
Andalusia, AL 36420-2525

Mailing address

PO Box 1458
Andalusia, AL 36420-1225
Phone (334) 222-8561

National Provider Directory

National Provider Directory

Locations

1829 E Three Notch St
Andalusia, AL 36421
Phone (334) 222-8561

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1609053784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1458",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201225",
            "telephone_number": "334-222-8561",
            "fax_number": "334-222-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTGATE PLZ",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364202525",
            "telephone_number": "334-222-8561",
            "fax_number": "334-222-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M DAVIDSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-222-8561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "S-355-TA-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

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