Individual provider Active NPI

John Brandon Davies, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1811904212
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
51687 Issued in MN
Practice address
3601 W 76TH St Ste 325
Edina, MN 55435-6215
Phone
(952) 929-1131
Fax
(952) 929-8873
NPI assigned
Aug 1, 2006
Last updated
May 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 51687 MN Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 51687 MN

Addresses

Primary practice location

3601 W 76TH St Ste 325
Edina, MN 55435-6215

Mailing address

3601 W 76TH St Ste 325
Edina, MN 55435-6215
Phone (952) 929-1131

Other identifiers 1

IdentifierTypeStateIssuer
1811904212MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20090911000071 MN Practitioner - Ophthalmology 2466559745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51687MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Mar 5, 2012 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Mar 5, 2012 Accepting new patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Aug 1, 2009 Accepting new patients
Retina & Vitreous Consultants Inc Ophthalmology Past Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients
Retina Consultants, LLC Retina Specialist PastSince Jul 1, 2024 Accepting new patients

Locations

11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104

3601 W 76th St
Fl 3
Edina, MN 55435

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

3601 W 76th St
Ste 325
Minneapolis, MN 55435
Phone (952) 929-1131

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175

4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1811904212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356215",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356215",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "51687",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "51687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811904212",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.