Cory Noel Davis, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1340 Issued in SC

Practice address

2110 Bells Hwy
Walterboro, SC 29488-6978

Phone

(843) 539-1568

Fax

(843) 539-1570

NPI assigned

Nov 3, 2025

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1811866320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886978",
            "telephone_number": "843-539-1568",
            "fax_number": "843-539-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886978",
            "telephone_number": "843-539-1568",
            "fax_number": "843-539-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CORY",
        "middle_name": "NOEL",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie G Dailey
• April Daley
• Dan R Yarbrough,D.M.D.
• Deborah Daniels, LPN
• Sabrina Lenell Dasher, LMSW
• Jennifer E Davis, M.S.
• Kevin Thomas Deane, RPH
• Amy Sauls Delong, RN
• Lucinda Demarco, M.D.
• Dermatology Associates of the Lowcountry

• Optician in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.