Individual provider Active NPI

Lauren Davis, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1669034492
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004302A Issued in IN
Practice address
5965 E Broad St Ste 480
Columbus, OH 43213-1562
Phone
(614) 751-4070
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004302A IN Primary
Optometrist 152W00000X 9695TG TX

Addresses

Primary practice location

5965 E Broad St Ste 480
Columbus, OH 43213-1562

Mailing address

9202 N Meridian Street
Indianapolis, IN 46260-1810
Phone (317) 841-2020

Other practice location 1

5155 Bradenton Ave Ste 200
Dublin, OH 43017-7560
Phone (614) 766-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200918001078 TX Practitioner - Optometry 2062830359
I20210818001591 IN Practitioner - Optometry 2062830359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Indiana, PCGroup PAC ID 0446267876, 19 clinicians

Practice addresses (Care Compare)

9202 N Meridian St
Suite 100
Indianapolis, IN 46260-1810
Phone (317) 841-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
87.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Indiana, PC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Ophthalmic Plastic Surgery Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1603 S Scatterfield Rd
Anderson, IN 46016
Phone (765) 644-2020

740 W Green Meadows Dr
Ste 105
Greenfield, IN 46140
Phone (317) 318-7777

740 W Green Meadows Dr
Ste 310
Greenfield, IN 46140
Phone (317) 462-2020

9202 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 841-2020

Organizations & group practices 3

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1669034492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601810",
            "telephone_number": "317-841-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST STE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-751-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 Bradenton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177560",
            "country_code": "US",
            "telephone_number": "614-766-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAUREN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004302A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9695TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.