Individual provider Active NPI

Andrew Rollin Davis, M.D.

  • Ophthalmology Physician
  • Williamsburg, VA
National Provider Identifier
1700273539
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101273193 Issued in VA
Practice address
5215 Monticello Ave Ste a
Williamsburg, VA 23188-8232
Phone
(757) 229-4000
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0116029599 VA
Ophthalmology Physician 207W00000X 0101273193 VA Primary

Addresses

Primary practice location

5215 Monticello Ave Ste a
Williamsburg, VA 23188-8232

Mailing address

PO Box 45923
Baltimore, MD 21297-5923
Phone (877) 969-0392

Other practice location 1

2010 Bremo Rd Ste 128
Richmond, VA 23226-2444
Phone (804) 285-0680

Other practice location 2

2801 Boulevard Ste C
Colonial Heights, VA 23834-2323
Phone (804) 285-0680

Other practice location 3

315 Furr St
South Hill, VA 23970-9500
Phone (804) 285-0680

Other practice location 4

2385 Colony Crossing Pl
Midlothian, VA 23112-4280
Phone (804) 739-2220

Other practice location 5

1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone (757) 229-4000

Other practice location 6

6161 Kempsville Cir Ste 130
Norfolk, VA 23502-3932
Phone (757) 455-5130

Other practice location 7

109 Wimbledon Sq Ste E
Chesapeake, VA 23320-4945
Phone (757) 455-5130

Other practice location 8

2200 Executive Dr Ste A
Hampton, VA 23666-2582
Phone (757) 849-0565

Other practice location 9

611 Della St
Tappahannock, VA 22560-2270
Phone (804) 443-3901

Other practice location 10

402 Airport Rd
Tappahannock, VA 22560-5431
Phone (804) 443-5388

Other practice location 11

7347 Bell Creek Rd Ste 200
Mechanicsville, VA 23111-3504
Phone (804) 746-5245

Other practice location 12

4917 Richmond Tappahannock Hwy Ste A1
Aylett, VA 23009-3416
Phone (804) 769-4362

Other practice location 13

600 Gresham Dr
SNGH Lions Center for Sight
Norfolk, VA 23507-1904
Phone (757) 388-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200514001240 TX Practitioner - Ophthalmology 9931439551
I20210917001600 VA Practitioner - Ophthalmology 9931439551 Reassigns benefits to 1 organization
I20260625002078 CO Practitioner - Ophthalmology 9931439551

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians
James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

5215 Monticello Ave
Suite a
Williamsburg, VA 23188-8232
Phone (757) 229-4000

9320 Grand Cordera Pkwy
Suite 255
Colorado Springs, CO 80924-7003
Phone (719) 258-1240

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101273193VAMDOphthalmology Physician
0116029599VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Ophthalmology Associates Ophthalmology CurrentSince Apr 15, 2020 Accepting new patients
Medical Center Ophthalmology Associates Ophthalmology CurrentSince Apr 15, 2020 Accepting new patients
David M Harman MD LLC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Dominion Eye Associates PC PastSince Jan 26, 2007 Accepting new patients
Becker Eye Care Center, LLC PastSince Aug 20, 2004 Accepting new patients
William G. Ryan, O.D., LTD. Past Accepting new patients
Chesterfield Ophthalmology PC Ophthalmology PastSince Oct 1, 2002 Accepting new patients
Hanover Family Eyecare PastSince Jun 30, 2012 Accepting new patients
Advanced Vision Surgery Center LLC Past Accepting new patients

Locations

9157 Huebner Rd
San Antonio, TX 78240
Phone (210) 697-2001

4917 Richmond Tappahannock Hwy
Ste 1A
Aylett, VA 23009
Phone (804) 746-5245

109 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 455-5130

2801 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 285-0680

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

2200 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 827-0009

1613 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 229-4000

7347 Bell Creek Rd
Ste 200
Mechanicsvlle, VA 23111
Phone (804) 746-5245

2385 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 739-2220

6161 Kempsville Cir
Ste 130
Norfolk, VA 23502
Phone (757) 455-5130

2010 Bremo Rd
Ste 128
Richmond, VA 23226
Phone (804) 285-0680

315 Furr St
South Hill, VA 23970
Phone (434) 447-2578

402 Airport Rd
Tappahannock, VA 22560
Phone (804) 443-5388

5215 Monticello Ave
Ste A
Williamsburg, VA 23188
Phone (757) 229-1440

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1700273539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "877-969-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888232",
            "telephone_number": "757-229-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Bremo Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262444",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342323",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Furr St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239709500",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2385 Colony Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124280",
            "country_code": "US",
            "telephone_number": "804-739-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Hardy Cash Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662414",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Kempsville Cir Ste 130",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023932",
            "country_code": "US",
            "telephone_number": "757-455-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Wimbledon Sq Ste E",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204945",
            "country_code": "US",
            "telephone_number": "757-455-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Executive Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662582",
            "country_code": "US",
            "telephone_number": "757-849-0565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Della St",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225602270",
            "country_code": "US",
            "telephone_number": "804-443-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605431",
            "country_code": "US",
            "telephone_number": "804-443-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7347 Bell Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231113504",
            "country_code": "US",
            "telephone_number": "804-746-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4917 Richmond Tappahannock Hwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Aylett",
            "state": "VA",
            "postal_code": "230093416",
            "country_code": "US",
            "telephone_number": "804-769-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_2": "SNGH Lions Center for Sight",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-2473",
            "fax_number": "757-388-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "middle_name": "ROLLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0116029599",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101273193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.