Individual provider Active NPI

Amalia Davis, O.D.

  • Vision Therapy Optometrist
  • Spring, TX
National Provider Identifier
1780026765
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
8178TG Issued in TX
Practice address
8500 Cypresswood Dr Ste 103
Spring, TX 77379-7106
Phone
(832) 592-9560
Fax
(832) 789-9650
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision Optometrist 152WS0006X 8178TG TX
Pediatric Optometrist 152WP0200X 8178TG TX
Occupational Vision Optometrist 152WX0102X 8178TG TX
Vision Therapy Optometrist 152WV0400X 8178TG TX Primary

Addresses

Primary practice location

8500 Cypresswood Dr Ste 103
Spring, TX 77379-7106

Mailing address

8500 Cypresswood Dr Ste 103
Spring, TX 77379-7106
Phone (832) 592-9650

Other practice location 1

6100 Westheimer Rd Ste 136A
Houston, TX 77057-4535
Phone (713) 785-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424003200 TX Practitioner - Optometry 6608118518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8178TGTXMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc. CurrentSince Nov 23, 2021 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Nov 23, 2021 Accepting new patients
Briargrove Eyecare PC Past Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: amalia.davis.p1@direct.accesshealth.nextgenshare.com

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1780026765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 CYPRESSWOOD DR STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797106",
            "telephone_number": "832-592-9650",
            "fax_number": "832-789-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 CYPRESSWOOD DR STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797106",
            "telephone_number": "832-592-9560",
            "fax_number": "832-789-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Westheimer Rd Ste 136A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770574535",
            "country_code": "US",
            "telephone_number": "713-785-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMALIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "8178TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "8178TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "8178TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "8178TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.