Active NPI
Dennis Wayne Davis Sr., OPTICIAN
- Optician
- Hampstead, NC
National Provider Identifier
1962533232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 524
- Practice address
- Hampstead Station 11
US Hwy 17
Hampstead, NC 28443 - Phone
- (910) 270-3249
- Fax
- (910) 270-3249
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 524 | NC | Primary |
Addresses
Primary practice location
Hampstead Station 11
US Hwy 17
Hampstead, NC 28443
Mailing address
11 Hampstead Station
US Hwy 17
Hampstead, NC 28443-2149
Phone (910) 270-3249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8802053 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962533232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HAMPSTEAD STATION",
"address_2": "US HWY 17",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284432149",
"telephone_number": "910-270-3249",
"fax_number": "910-270-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HAMPSTEAD STATION 11",
"address_2": "US HWY 17",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "28443",
"telephone_number": "910-270-3249",
"fax_number": "910-270-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DENNIS",
"middle_name": "WAYNE",
"name_suffix": "Sr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8802053",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.