Brian Walter Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP100516 Issued in ID

Practice address

4270 N Eagle Rd
Boise, ID 83713-0726

Phone

(208) 938-2010

Fax

(208) 938-2011

NPI assigned

Jun 20, 2019

Last updated

May 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, ID2 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

Specialty

Optometry

Education

Southern California College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McNeel Eye Center IncGroup PAC ID 5294804415, 4 clinicians

Capital Eye Care PLLCGroup PAC ID 7113417452, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capital Eye Care PLLC

  • Optometrist
  • Boise, ID
  • NPI 1457157406
  Medicare reassignment Care Compare group NPD
• McNeel Eye Center, Inc.

  • Optometrist
  • Boise, ID
  • NPI 1477728327
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1689234601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130726",
            "telephone_number": "208-938-2010",
            "fax_number": "208-938-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130726",
            "telephone_number": "208-938-2010",
            "fax_number": "208-938-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "WALTER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1028",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Davis-Arriaga
• Aaron Davis, PA
• Adia Nicole Davis, ATC
• Amy Maree Davis, LPC
• Ashley A Davis, MD
• Brittney Davis, PA-C
• Charlene Davis
• Charles Michael Davis, DO
• Cole Davis, PT
• Derek C. Davis, D.C.

• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.