Van A Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1829 Issued in GA

Practice address

1013 N 5TH Ave NE
Suite 3
Rome, GA 30165-2664

Phone

(706) 291-7360

Fax

(706) 291-8655

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Eye Associates, Inc.Group PAC ID 4789677071, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.03

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.

• Professional Eye Associates, Inc.

  • Ophthalmology Physician
  • Dalton, GA
  • NPI 1699777862
  Medicare reassignment Care Compare group NPD
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Chatsworth, GA
  • NPI 1578079869
  NPD
• Coosa Eye Clinic, Inc

  • Optometrist
  • Rome, GA
  • NPI 1588815575
  NPD (past)
• Harbin Clinic, LLC

  dba Harbin Clinic

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  NPD (past)
• P. Carl Davidson MD PC

  dba D/B/A Davidson Eye Clinic

  • Ophthalmology Physician
  • Summerville, GA
  • NPI 1932385960
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Fort Oglethorpe, GA
  • NPI 1174988232
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Calhoun, GA
  • NPI 1770678948

  Optometrist

  NPD (past)
• Rome Eye Care

  • Durable Medical Equipment & Medical Supplies
  • Rome, GA
  • NPI 1477672780
  NPD (past)
• Total Eyecare, PC

  dba Eyeworks

  • Optometrist
  • Cartersville, GA
  • NPI 1568555118
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1891810669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE",
            "address_2": "SUITE 3",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-291-7360",
            "fax_number": "706-291-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE",
            "address_2": "SUITE 3",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-291-7360",
            "fax_number": "706-291-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000941762B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Davis
• Kimberly Davis, RBT
• Melissa Dawn Davis, MD
• Rachel Erin Davis, DO
• Skylar Shierling Davis, FNP-BC
• William Barry Davis, M.D.
• Christina Chianne Dawson
• Harry E Dawson Jr., MD
• Tandi Machell Day, FNP-BC, CDCES
• Marc Merrick Dean, MD

• Optometrist in Rome, GA
• Providers in Rome, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.