Carolyn J. Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4494 Issued in OH

Practice address

1861 Towne Park Dr Ste a
Troy, OH 45373-2067

Phone

(937) 339-7956

Fax

(937) 339-6860

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carolyn Jean Steele-Davis Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Procare of Troy LLC

  • Optometrist
  • Troy, OH
  • NPI 1598926594
  Medicare reassignment NPD Authorized official
• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment NPD
• Carolyn J. Davis

  • Optometrist
  • Troy, OH
  • NPI 1972701084
  NPD (past) Authorized official
• Matthew D Ruzicka OD LLC

  • Optometrist
  • Troy, OH
  • NPI 1851481022
  NPD (past)
• Premier Health Specialists Inc

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1821173097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 TOWNE PARK DR STE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732067",
            "telephone_number": "937-339-7956",
            "fax_number": "937-339-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 TOWNE PARK DR STE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732067",
            "telephone_number": "937-339-7956",
            "fax_number": "937-339-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROLYN",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4494",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T1150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "STEELE-DAVIS",
            "middle_name": "JEAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darke County Mental Health Clinic, Inc.
• Lori A Darrah, CNP
• Morgan Michelle Darst
• Heather Davey, MA, CCC/SLP
• Linda Davidson, RN-CNP
• Dayton Dental Care, Inc
• Jennifer Sue Decker, M.A., L.S.W.
• Jane A Decolgyll, LSW
• Don D Delcamp, MD
• Carol Delong

• Optometrist in Troy, OH
• Providers in Troy, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.