Edwin A Davison Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

182490 Issued in NY

Practice address

615 Maple Ave
Suite 3
Saratoga Springs, NY 12866-5632

Phone

(518) 584-5821

Fax

(518) 583-9404

NPI assigned

Aug 17, 2006

Last updated

Mar 28, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Albany Medical College of Union University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.79 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: edwindavisonmd@yourvisionresource.medentdirect.com

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.

• Edwin a. Davison, Jr.

  • Eyewear Supplier
  • Saratoga Springs, NY
  • NPI 1508001272
  Authorized official Same address or phone
• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1689787905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAPLE AVE",
            "address_2": "SUITE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665632",
            "telephone_number": "518-584-5821",
            "fax_number": "518-583-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAPLE AVE",
            "address_2": "SUITE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665632",
            "telephone_number": "518-584-5821",
            "fax_number": "518-583-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "EDWIN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "182490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Davis-Doern, LCSW-R, CASAC
• Amanda Nichole Davis
• Diane B Davis, LCSW
• Robert Warren Davis, MSW
• Tina Davis, EDD
• Catherine Dawson, MD
• Marie Chin Day, MD
• Denise-Rae De Guzman, LMHC
• Anthony A De Matteo, PT
• Dean Physical Therapy, PLLC

• Specialist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.