Individual provider Active NPI

Steven Charles Davenport, OD

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1619935038
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4451TG Issued in TX
Practice address
4511 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone
(281) 265-2020
Fax
(281) 265-2029
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4451TG TX Primary

Addresses

Primary practice location

4511 Sweetwater Blvd
Sugar Land, TX 77479-3010

Mailing address

4511 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone (281) 265-2020

Other identifiers 1

IdentifierTypeStateIssuer
59RNOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040518001078 TX Practitioner - Optometry 9931190147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Eye Care Center LLPGroup PAC ID 5597854000, 5 clinicians

Practice addresses (Care Compare)

4511 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone (281) 265-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Eye Care Center, LLP Optometrist CurrentSince Nov 3, 1997 Accepting new patients
Rosner Optometry PLLC Optometrist Past Accepting new patients

Locations

6134 Highway 6
Missouri City, TX 77459
Phone (281) 499-2020

4511 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 265-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1619935038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793010",
            "telephone_number": "281-265-2020",
            "fax_number": "281-265-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793010",
            "telephone_number": "281-265-2020",
            "fax_number": "281-265-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "STEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4451TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59RN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.