Active NPI
Edward H Davis, OD
- Optometrist
- Farmington, NY
National Provider Identifier
1811970445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004835
- Practice address
- 6081 Rte 96 S
Farmington, NY 14425 - Phone
- (585) 924-2550
- Fax
- (585) 924-4399
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004835 | NY | Primary |
Addresses
Primary practice location
6081 Rte 96 S
Farmington, NY 14425
Mailing address
403 East St
Pittsford, NY 14534-3644
Phone (585) 387-9971
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100159CS | Other | NY | HMO PREFERRED CARE |
| 01041381 | Medicaid | NY | |
| NY4835 | Other | EYEMED | |
| 122288 | Other | NY | COLE MANAGED CARE PROVIDE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004835 | NY | MD | Optometrist |
| 004835 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811970445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 EAST ST",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343644",
"telephone_number": "585-387-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 RTE 96 S",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "14425",
"telephone_number": "585-924-2550",
"fax_number": "585-924-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "EDWARD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO PREFERRED CARE",
"identifier": "100159CS",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01041381",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NY4835",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE MANAGED CARE PROVIDE",
"identifier": "122288",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.