NPIMap

Organization Active NPI

Carolyn J. Davis

Doing business as ProCare Vision Center

  • Optometrist
  • Troy, OH
National Provider Identifier
1972701084
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4494 Issued in OH
Legal business name
CAROLYN J. DAVIS
Doing business as
ProCare Vision Center
Practice address
19 S Weston Rd
Troy, OH 45373-2515
Phone
(937) 339-7956
Fax
(937) 339-6860
NPI assigned
Jul 10, 2007
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Carolyn J. Davis, O.D.NPI 1821173097
Title
Optometrist/ Owner
Phone
(937) 339-7956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4494 OH Primary

Addresses

Primary practice location

19 S Weston Rd
Troy, OH 45373-2515

Mailing address

19 S Weston Rd
Troy, OH 45373-2515
Phone (937) 339-7956

Other identifiers 1

IdentifierTypeStateIssuer
7402675OtherOHAETNA

Other names 1

  • ProCare Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

19 S Weston Rd
Troy, OH 45373
Phone (937) 339-7956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1972701084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S WESTON RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732515",
            "telephone_number": "937-339-7956",
            "fax_number": "937-339-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S WESTON RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732515",
            "telephone_number": "937-339-7956",
            "fax_number": "937-339-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN J. DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "937-339-7956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7402675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.