Individual provider Active NPI

Andrew Davis, MD

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1912698929
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
BP10083614 Issued in TX
Practice address
Ttuhsc Department of Ophthalmology and Visual Sciences
3601 4TH Street - Stop Ms 7217, Room 2A100
Lubbock, TX 79430
Phone
(806) 743-2020
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10083614 TX
Ophthalmology Physician 207W00000X BP10083614 TX Primary

Addresses

Primary practice location

Ttuhsc Department of Ophthalmology and Visual Sciences
3601 4TH Street - Stop Ms 7217, Room 2A100
Lubbock, TX 79430

Mailing address

Ttuhsc Department of Ophthalmology and Visual Sciences
3601 4TH Street - Stop Ms 7217, Room 2A100
Lubbock, TX 79430
Phone (806) 743-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10083614TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center P a Ophthalmology CurrentSince May 21, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince May 21, 2023 Accepting new patients

Locations

3601 4th St
Stop 7217
Lubbock, TX 79430
Phone (806) 743-2020

Organizations & group practices 2

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1912698929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES",
            "address_2": "3601 4TH STREET - STOP MS 7217, ROOM 2A100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES",
            "address_2": "3601 4TH STREET - STOP MS 7217, ROOM 2A100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10083614",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "BP10083614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.