DR. SHANNON DAVIDSON OD
NPI 1023209350
Optometrist in Marysville, OH

Active since August 01, 2007PECOS Enrolled
1001 W FIFTH ST, MARYSVILLE, OH 43040(937) 644-8637(937) 644-8653 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shannon Davidson Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON DAVIDSON OD (NPI 1023209350) is an individual optometrist in Marysville, Ohio, licensed in Ohio (5704) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2007).

NPPES Registry Identity

NPI1023209350
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHANNON DAVIDSONCredential: OD
Location Address1001 W FIFTH STMarysville, OH 43040
Mailing Address1001 W Fifth StMarysville, OH 43040 · (937) 644-8637 · Fax (937) 644-8653
Fax(937) 644-8653
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2007
Enumeration DateAugust 1, 2007
Last NPPES UpdateJuly 23, 2013
NPI 1023209350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · 5704
Definition

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.

1001 W FIFTH ST, Marysville, OH 43040

Other Identifiers 1

Medicaid2824617OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shannon Davidson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133252877
PECOS Enrollment IDI20100803000008
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1001 W FIFTH ST
MARYSVILLE, OH 43040
Optometrist
1001 W FIFTH ST
MARYSVILLE, OH 43040
Optometrist
1001 W FIFTH ST
MARYSVILLE, OH 43040
Optometrist
1001 W FIFTH ST
MARYSVILLE, OH 43040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Davidson's NPI number?

The NPI number for Shannon Davidson is 1023209350. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Shannon Davidson located?

Shannon Davidson practices at 1001 W Fifth St, Marysville, OH 43040. The listed phone number is (937) 644-8637.

What is Shannon Davidson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shannon Davidson enrolled in Medicare?

Yes. Shannon Davidson is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Davidson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Shannon Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Davidson was last updated on July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.