1. Home
  2. Directory
  3. Virginia
  4. Pulaski
  5. Ophthalmology
  6. NPI Profile

GLENN DAVIS MD
NPI 1083724512
Ophthalmology in Pulaski, VA

Active since August 30, 2006PECOS Enrolled
1510 BOB WHITE BLVD, PULASKI, VA 24301(540) 980-1965(540) 980-0032 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Davis Md NPPES

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

GLENN DAVIS MD (NPI 1083724512) is an individual ophthalmology provider in Pulaski, Virginia, licensed in Virginia (0101036189) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083724512
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGLENN DAVISCredential: MD
Location Address1510 BOB WHITE BLVDPulaski, VA 24301-4406
Mailing Address1510 Bob White BlvdPulaski, VA 24301-4406 · (540) 980-1965 · Fax (540) 980-0032
Phone(540) 980-1965
Fax(540) 980-0032
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 11, 2013
✔ NPI 1083724512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in VA · 0101036189
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1510 BOB WHITE BLVD, Pulaski, VA 24301
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN00W320G01VA
Medicaid010126991VA
Medicare PIN00V900G01VA
Medicare UPINB59902VA
Medicaid010104238VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 24301 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers31 claims31 services$47.01 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers23 claims41 services$37.47 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers19 claims38 services$56.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GLENN K DAVIS II MD PC
Ophthalmology
1510 BOB WHITE BLVD
PULASKI, VA 24301
Pulaski County (540) 980-1965

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 Glenn Davis's NPI number?

The NPI number for Glenn Davis is 1083724512. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Glenn Davis located?

Glenn Davis practices at 1510 Bob White Blvd, Pulaski, VA 24301. The listed phone number is (540) 980-1965.

What is Glenn Davis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Glenn Davis enrolled in Medicare?

Yes. Glenn Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Davis was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.