Individual provider Active NPI

James Rick Davis, O.D.

  • Optometrist
  • Newton, NC
National Provider Identifier
1841292554
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1219 Issued in NC
Practice address
110 E a St
Newton, NC 28658-3343
Phone
(828) 464-4136
Fax
(828) 464-6243
NPI assigned
Aug 12, 2005
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1219 NC Primary

Addresses

Primary practice location

110 E a St
Newton, NC 28658-3343

Mailing address

PO Box 446
110 East a Street
Newton, NC 28658-0446
Phone (828) 464-4136

Other identifiers 1

IdentifierTypeStateIssuer
8909031MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040408000494 NC Practitioner - Optometry 3375456080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Optometric Center, PLLCGroup PAC ID 5395658017, 5 clinicians

Practice addresses (Care Compare)

750 Iris Lane
Newton, NC 28658-3343
Phone (828) 464-4136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1219NCMDOptometrist
1219NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Optometric Center, PLLC Optometrist CurrentSince Oct 1, 2003 Accepting new patients
Claremont Optometric Eye Care Center, PLLC Optometrist CurrentSince Aug 1, 2001 Accepting new patients
Maiden Optometric Eye Care Center, PLLC Optometrist PastSince Jul 1, 2002 Accepting new patients

Locations

3038 S NC 127 Hwy
Hickory, NC 28602
Phone (828) 294-1010

110 E A St
Newton, NC 28658
Phone (828) 464-4136

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, 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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1841292554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "address_2": "110 EAST A STREET",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286580446",
            "telephone_number": "828-464-4136",
            "fax_number": "828-464-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E A ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583343",
            "telephone_number": "828-464-4136",
            "fax_number": "828-464-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.