DR. KRISTA M DAVIS (NPI# 1942378468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942378468 |
| Entity Type | Individual |
| Full Name | DR. KRISTA M DAVIS |
| Credential | OD, FAAO |
| Practice Address |
4455 Highway 169 N Four Seasons Eyecare Plymouth MN 55442-2897 |
| Practice Telephone | 7635597358 |
| Mailing Telephone | 7635597358 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2577 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 0618001376 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316507718 | Krista Joy Renae Davis | Nurse Practitioner | 2000b Trans Mountain Rd Ste 200, El Paso, TX 79911-3600 | 2019-06-18 |
| 1083128144 | Krista Davis | Massage Therapist | 8930 Pioneer Dr, Anchorage, AK 99504-4259 | 2017-11-28 |
| 1639790710 | Krista Davis | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-04-30 |
| 1134781446 | Krista Shalynn Davis | Social Worker | 182 16th St, Burlington, CO 80807-1649 | 2019-07-08 |
| 1285134882 | Krista Leigh Davis | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-20 |
| 1851840334 | Krista Davis | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2016-09-26 |
| 1104234103 | Krista Davis | Speech-Language Pathologist | 1627 E Broomfield St, Mount Pleasant, MI 48858-5429 | 2014-07-23 |
| 1104255140 | Krista Davis | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2013-11-08 |
| 1871921791 | Krista Davis | Physical Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2013-10-31 |
| 1235562794 | Krista Van Derwood Davis | Social Worker | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2013-08-19 |
| Street Address |
4455 HIGHWAY 169 N FOUR SEASONS EYECARE |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545895 | Valentini Chiropractic Clinic Ltd Pa | Chiropractor | 4455 Highway 169 N, #200, Plymouth, MN 55442-2897 | 2005-08-22 |
| 1770106635 | Lindsay Nicole Page | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2020-05-26 |
| 1457840191 | Leah Ruhland | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2018-05-08 |
| 1740627017 | Osborne Chiropractic Pa | Chiropractor | 4455 Highway 169 N, Suite 200, Plymouth, MN 55442-2897 | 2013-05-28 |
| 1376988543 | Joseph Dale Osborne | Chiropractor | 4455 Highway 169 N, #200, Plymouth, MN 55442-2897 | 2013-05-01 |
| 1760652036 | John Kenneth Valentini | Chiropractor | 4455 Highway 169 N, Ste 200, Plymouth, MN 55442-2897 | 2008-03-03 |
| 1497785620 | Don Sealock, O.d., P.a. | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2006-07-04 |
| 1285695528 | Thomas J Bryan | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2006-03-28 |
| 1518928845 | Timothy J Hurley | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2006-03-28 |
| 1568422301 | Troy D Loomis | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998969 | Ryan Christopher Racette | Optometrist | 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 | 2017-08-17 |
| 1013442094 | Robert Ray Baltierra | Optometrist | 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | 2017-04-27 |
| 1568779643 | Hooligan Adventures | Optometrist | 3185 Fernbrook Ln N, Plymouth, MN 55447-5320 | 2010-09-09 |
| 1235461708 | Full Sail Partners, LLC | Optometrist | 215 N Michigan St, Plymouth, IN 46563-2134 | 2010-02-08 |
| 1982895439 | Tate Herman | Optometrist | 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 | 2007-08-08 |
| 1164637591 | Francis J Aprea Od,pc | Optometrist | 22 Chilton St, Plymouth, MA 02360-3804 | 2007-05-11 |
| 1801921408 | Dennis M Picard | Optometrist | 670 S Main St, Plymouth, MI 48170-1711 | 2007-02-22 |
| 1073654802 | Glenna Anne Waitt | Optometrist | Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360 | 2007-02-12 |
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1902943822 | Plymouth Vision Center, Inc. | Optometrist | 16725 Cty Rd 24, Plymouth, MN 55447 | 2007-01-31 |
| Find all providers in PLYMOUTH | ||||
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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.