Organization Active NPI

Davis Eye Group, Inc.

  • Ophthalmology Physician
  • Mt Pleasant, PA
National Provider Identifier
1962556191
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD040414E Issued in PA
Legal business name
DAVIS EYE GROUP, INC.
Practice address
741 North Church St
Mt Pleasant, PA 15666
Phone
(724) 547-9810
Fax
(724) 547-9824
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mr. Riley Davis
Title
Administrator
Phone
(412) 731-1290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD040414E PA Primary

Addresses

Primary practice location

741 North Church St
Mt Pleasant, PA 15666

Mailing address

741 North Church St
Mt Pleasant, PA 15666
Phone (724) 547-9810

National Provider Directory

National Provider Directory

Locations

609 N Church St
Mt Pleasant, PA 15666
Phone (412) 547-9810

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1962556191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NORTH CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-9810",
            "fax_number": "724-547-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NORTH CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-9810",
            "fax_number": "724-547-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS EYE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-731-1290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD040414E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.