Individual provider Active NPI

Richard M Davis, MD

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1750379277
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 016895 Issued in FL
Practice address
9201 Cypress Lake Dr
Fort Myers, FL 33919-4941
Phone
(239) 936-8686
Fax
(239) 936-2532
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 016895 FL Primary

Addresses

Primary practice location

9201 Cypress Lake Dr
Fort Myers, FL 33919-4941

Mailing address

4790 Barkley Cir BLDG C-103
Fort Myers, FL 33907-7543
Phone (239) 936-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20051021000555 FL Practitioner - Ophthalmology 5597781351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Florida PAGroup PAC ID 7113056292, 10 clinicians

Practice addresses (Care Compare)

4790 Barkley Cir
BLDG C
Fort Myers, FL 33907-7593
Phone (239) 936-8686

Merit-based Incentive Payment System (MIPS)

Final score
95.02 of 100Reported as group
Quality
94.6
Promoting interoperability
96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 016895FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Florida PA CurrentSince Jan 1, 2010 Accepting new patients
Eye Physicians and Surgeons of Florida PA CurrentSince Jan 1, 2010 Accepting new patients
Richard M Davis MD PA PastSince Aug 26, 2005 Accepting new patients

Locations

4790 Barkley Cir
Ste C103
Fort Myers, FL 33907
Phone (239) 936-8686

4790 Barkley Cir
Bldg C
Fort Myers, FL 33907
Phone (239) 936-8686

9201 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 324-4888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1750379277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR BLDG C-103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077543",
            "telephone_number": "239-936-8686",
            "fax_number": "239-936-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194941",
            "telephone_number": "239-936-8686",
            "fax_number": "239-936-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 016895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.