SAMANTHA DAVIDSON OD NPI 1801638754

NPI Information

  • NPI: 1801638754
  • Provider Name: SAMANTHA DAVIDSON, OD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5102 S PACKARD AVE
    CUDAHY, WI
    ZIP 53110
  • Phone: (414) 769-6120

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NPI Details

Samantha Davidson, OD is a student in an organized health care education training program in Cudahy, WI with 1 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samantha Davidson, OD NPI is 1801638754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:2024

The provider's business location address is:

5102 S PACKARD AVE
CUDAHY, WI
ZIP 53110-922
Phone: (414) 769-6120

The NPI 1801638754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/11/2024 and was last updated on 6/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

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