ROGER GLEN DAVIS (NPI# 1205859832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205859832 |
Entity Type | Individual |
Full Name | ROGER GLEN DAVIS |
Credential | O.D. |
Practice Address |
235 Harvey St Winston Salem NC 27103-1741 |
Mailing Address |
3316 Silas Creek Pkwy Winston Salem NC 27103-3011 |
Practice Telephone | 3368420952 |
Practice Fax Number | 3367933475 |
Mailing Telephone | 3367655350 |
Mailing Fax Number | 3367650769 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2019-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1286 | NC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7909122 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3316 Silas Creek Pkwy, Winston Salem, NC 271033011 | 3367655350 | 3367650769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811409576 | Roger Wayne Davis | Driver | 539 Morris Ln, Montross, VA 22520-2952 | 2017-11-02 |
1457411456 | Roger Davis | Optometrist | 2950 E Texas St Ste 302, #24, Bossier City, LA 71111-3259 | 2006-12-11 |
1114941101 | Roger A Davis II | Physical Therapist | 2420 Lime Kiln Ln Ste C, Louisville, KY 40222-3425 | 2006-07-26 |
1326012808 | Roger F Davis Jr. | Chiropractor | 155 E Interlake Blvd, Lake Placid, FL 33852-9578 | 2006-02-14 |
1215454970 | Roger Davis | Student in an Organized Health Care Education/Training Program | 871 Venetia Bay Blvd, Venice, FL 34285-8047 | 2017-08-24 |
1497151401 | Roger Davis | Counselor | 576 Hartnell St, Monterey, CA 93940 | 2014-11-18 |
1073745964 | Roger Lee Davis | Pharmacist | 1 University Park Dr, Nashville, TN 37204-3956 | 2009-08-11 |
1609907427 | Roger Franklin Davis Sr. | Dentist | 202 Ne 3rd St, Okeechobee, FL 34972-2947 | 2007-03-07 |
1427104975 | Roger Davis | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2007-01-26 |
1174604987 | Roger Davis | Psychologist | 6817 Southpoint Pkwy Ste 904, 904, Jacksonville, FL 32216-6293 | 2006-10-18 |
Street Address |
235 HARVEY ST |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-1741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821553637 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2019-02-06 |
1104840578 | Lisa N Davis | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 152WC0802X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Corneal and Contact Management |
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861415424 | Kelly Lynn Reid | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2006-07-25 |
1124683313 | Cardinal Eye Care Od | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2019-05-03 |
1366922197 | Melissa E Heisler | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2018-08-21 |
1124506373 | Dr. B. Keith Cash - Optometry, Pllc | Optometrist | 2596 Reynolda Rd Ste A, Winston Salem, NC 27106-4651 | 2018-07-31 |
1679012918 | Tunnel Road Optometry Group Od Pa | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2017-02-20 |
1154716421 | Tunnel Road Optometry Group | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2015-04-02 |
1982093563 | Ronald A. Brake,o.d.,p.a. | Optometrist | 611 Coliseum Dr, Suite B, Winston Salem, NC 27106-5310 | 2015-01-20 |
1982032959 | Thuyvan Vo | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2013-10-29 |
1518189976 | Davis Eye Associates Od, Pa | Optometrist | 3316 Silas Creek Pkwy, Davis Eye Associates Od Pa, Winston Salem, NC 27103-3011 | 2007-05-03 |
1104840578 | Lisa N Davis | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2006-07-27 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.