Individual provider Active NPI

William H Davenport, M.D.

  • Ophthalmology Physician
  • Stuart, FL
National Provider Identifier
1669425773
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME48783 Issued in FL
Practice address
2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone
(772) 287-8777
Fax
(772) 287-1996
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0048783 FL
Ophthalmology Physician 207W00000X ME48783 FL Primary

Addresses

Primary practice location

2090 SE Ocean Blvd
Stuart, FL 34996-3304

Mailing address

2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 287-8777

Other identifiers 1

IdentifierTypeStateIssuer
0641030001OtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000094 FL Practitioner - Ophthalmology 7113824962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Eye Institute PAGroup PAC ID 7911804935, 6 clinicians

Practice addresses (Care Compare)

2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 287-8777

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
97.57
Improvement activities
40
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0048783FLMDSpecialist
ME48783FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Eye Institute PA Ophthalmology CurrentSince Oct 15, 1999 Accepting new patients
Eyewear of Stuart, Inc. PastSince Dec 3, 1998 Accepting new patients

Locations

1701 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (631) 983-7421

2090 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 287-8777

Interoperability endpoints

  • Direct secure messaging: billd@stuarteye.ecldirect.net

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1669425773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0048783",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME48783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0641030001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.