Individual provider Active NPI

Joshua R Davidson, O.D

  • Optometrist
  • Gonzales, LA
National Provider Identifier
1881026003
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1655-689T Issued in LA
Practice address
1004 Louisiana Hwy. 30
Suite a
Gonzales, LA 70737-4531
Phone
(225) 644-4444
NPI assigned
Jul 30, 2013
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1655-689T LA Primary

Addresses

Primary practice location

1004 Louisiana Hwy. 30
Suite a
Gonzales, LA 70737-4531

Mailing address

14415 Villa Carre Dr
Baton Rouge, LA 70810-7800
Phone (989) 225-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20151217001915 LA Practitioner - Optometry 2668773524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

2308 S Burnside Ave
Gonzales, LA 70737-4643
Phone (225) 644-7525

5233 Main St
Suite a
Zachary, LA 70791-3978
Phone (225) 654-0090

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

550 Connells Park Lane
Baton Rouge, LA 70806-6539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1655-689TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Vision, L.L.C. CurrentSince Oct 15, 2015 Accepting new patients
Williamson Eye Center Optometrist CurrentSince Sep 24, 2018 Accepting new patients
Accent Optical, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Williamson Eye Center Optometrist CurrentSince Sep 24, 2018 Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist Past Accepting new patients
Jonathan M. Levy, DPM, PC Past Accepting new patients

Locations

10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

9001 Summa Ave
Baton Rouge, LA 70809

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

1004 W Highway 30
Ste 100
Gonzales, LA 70737
Phone (225) 644-4444

1004 W Highway 30
Ste A
Gonzales, LA 70737
Phone (225) 644-4444

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Organizations & group practices 8

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1881026003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 VILLA CARRE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107800",
            "telephone_number": "989-225-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LOUISIANA HWY. 30",
            "address_2": "SUITE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374531",
            "telephone_number": "225-644-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1655-689T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.