Donnie Ray Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT498 Issued in TN

Practice address

107 Kennedy Dr
Martin, TN 38237-3309

Phone

(731) 587-3555

Fax

(731) 587-9003

NPI assigned

Jun 14, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Donnie Ray Davis OD

  • Durable Medical Equipment & Medical Supplies
  • Martin, TN
  • NPI 1841465127

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1669415733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382370379",
            "telephone_number": "731-587-3555",
            "fax_number": "731-587-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-3555",
            "fax_number": "731-587-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DONNIE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Annette Daniels, RN
• Sarah Grace Davidson, LPN
• Beatina King Davis, PHARMD
• Cory S Davis, DC
• Dennis Allan Davis, MD
• Jennifer L Davis, OTR
• Nelson Ray Davis, ATC/L
• Shannon Deal, NP
• George Fred Deaton, LPC-MHSP
• Zachary Delaney, PHARM. D.

• Optometrist in Martin, TN
• Providers in Martin, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.