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GARY DAVIDSON OD INC NPI 1629349857


NPI Information

NPI: 1629349857
Provider Name: GARY DAVIDSON OD INC

Former Legal Business Name: DR GARY E DAVIDSON, OD

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
4803 OUTER LOOP DRIVE
LOUISVILLE, KY
ZIP 40219
Phone: (502) 964-7726
Get Directions

GARY DAVIDSON OD INC is an optometrist in Louisville, KY. The provider is 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. GARY DAVIDSON OD INC NPI is 1629349857. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr Gary E Davidson, Od.

The provider's business location address is:

4803 OUTER LOOP DRIVE
LOUISVILLE, KY
ZIP 40219-200
Phone: (502) 964-7726
Fax: (502) 966-9347

The provider's authorized official is Gary E Davidson .
The authorized official title is President and has the following contact phone number (502) 895-4456.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 1/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist0886DTKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1911200OTHERKENTUCKYBLOCK VISION
29211701MEDICARE PINKENTUCKY
3819777OTHERKENTUCKYEYEMED
4819777OTHERKENTUCKYCOLE VISION SERVICES
5T54705OTHERKENTUCKYUPIN
6ZKY33088OTHERKENTUCKYINGENIX
777008860MEDICAIDKENTUCKY
8181046OTHERKENTUCKYNVA
9410006446OTHERKENTUCKYRR MEDICARE
10000000042951OTHERKENTUCKYKY BLUE SHIELD
115310609OTHERKENTUCKYAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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