Individual provider Active NPI

Steven Kenneth Davis, O.D.

  • Optometrist
  • Franklin, NC
National Provider Identifier
1750351649
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1426 Issued in SC
Practice address
647 Wayah St
Dept of Veterans Affairs Franklin Cboc
Franklin, NC 28734-3390
Phone
(828) 369-1781
Fax
(828) 369-1809
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2080 WA
Optometrist 152W00000X 1426 SC Primary

Addresses

Primary practice location

647 Wayah St
Dept of Veterans Affairs Franklin Cboc
Franklin, NC 28734-3390

Mailing address

100 Raintree Cir
Jacksonville, NC 28540-9145
Phone (910) 347-7263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2080WAMDSports Physician Chiropractor
1426SCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1750351649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAINTREE CIR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409145",
            "telephone_number": "910-347-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 WAYAH ST",
            "address_2": "DEPT OF VETERANS AFFAIRS FRANKLIN CBOC",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287343390",
            "telephone_number": "828-369-1781",
            "fax_number": "828-369-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2080",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.