Active NPI
David Benjamin Davis II, M.D.
- Optometrist
- Camas, WA
National Provider Identifier
1629434915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MD00039593
- Practice address
- 4810 NW Quartz CT
Camas, WA 98607-9108 - Phone
- (360) 921-5913
- Fax
- (360) 844-5449
- NPI assigned
- Jan 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | MD00039593 | WA | Primary |
Addresses
Primary practice location
4810 NW Quartz CT
Camas, WA 98607-9108
Mailing address
4810 NW Quartz CT
Camas, WA 98607-9108
Phone (360) 921-5913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039593 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451779200000",
"number": "1629434915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 NW QUARTZ CT",
"city": "CAMAS",
"state": "WA",
"postal_code": "986079108",
"telephone_number": "360-921-5913",
"fax_number": "360-844-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 NW QUARTZ CT",
"city": "CAMAS",
"state": "WA",
"postal_code": "986079108",
"telephone_number": "360-921-5913",
"fax_number": "360-844-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-03",
"last_updated": "2016-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "MD00039593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camas, WA
- Nichol Marie Danielson, LMP
- Darling Chiropractic Services, PC (Camas Family Health Center, PC)
- Trista L Darling, DC
- Sylas M Daughtrey, LMT
- David Paik Inc PS
- Danielle Christina Dearey, D.C.
- Deborah M Connors PLLC
- Kimberly Y Decker, MC70062319
- Dementia Primary Care Partners PLLC
- Demian Woyciehowsky, DMD, PLLC (Camas Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.