Davis Eye Associates OD, PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

DAVIS EYE ASSOCIATES OD, PA

Doing business as

Dba Family Vision Clinic

Practice address

4514 Oleander Dr
Family Vision Clinic
Wilmington, NC 28403-5012

Phone

(910) 392-4414

Fax

(910) 392-3153

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roger G Davis, OD

Title

President

Phone

(336) 765-5350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA FAMILY VISION CLINIC Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1689896003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 OLEANDER DR",
            "address_2": "FAMILY VISION CLINIC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035012",
            "telephone_number": "910-392-4414",
            "fax_number": "910-392-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS EYE ASSOCIATES OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA FAMILY VISION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Davidson
• Dwight Douglas Davidson, MD
• Kristin Davidson
• Morgan Elizabeth Davidson, PT, DPT, LAT, ATC
• Jennifer Davila Morales, LCSWA
• Davis Healthcare Center
• Davis Home Health Services LLC (Caring Senior Service of Wilmington)
• Angela Davis
• Benjamin Robert Davis, CADC, CPSS
• Brandon Thomas Davis, PTA

• Corneal and Contact Management Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.