Andrew Davis, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

9182832-1205 Issued in UT

Practice address

3855 W 7800 S Ste 100
West Jordan, UT 84088-5561

Phone

(801) 260-0034

Fax

(801) 260-0035

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

New York Medical College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt Lake Retina LLCGroup PAC ID 0042430282, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.62 of 100Reported as group

Quality

89.25

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: adavis@saltlakeretina.intellechartdirect.net

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.

• Salt Lake Retina, LLC

  • Retina Specialist (Ophthalmology) Physician
  • West Jordan, UT
  • NPI 1144622234
  Medicare reassignment Care Compare group
• Douglas S. Mehr, M.D., P.C.

  • Ophthalmology Physician
  • South Jordan, UT
  • NPI 1508052234
  NPD (past)
• Retina Institute, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Renton, WA
  • NPI 1528303849
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1922012582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885561",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 N 400 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840743413",
            "country_code": "US",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3465 South 4155 West, Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "84120",
            "country_code": "US",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "9182832-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "38883",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "9182832-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasie Enterprises, Inc.
• David D. Allred Counseling & Consulting, LLC
• David Hunter Matthews MD PC
• David S. Roberts DDS PC
• Dedric Dean Davidson, LCSW
• Cassi Davis, LCSW
• Craig William Davis, MD
• Halle Davis, LAT, ATC
• James B Davis, M.D.
• Lindsey Alexis Davis

• Retina Specialist (Ophthalmology) Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Retina Specialist (Ophthalmology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.