1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Optometrist
  6. NPI Profile

LISA N DAVIS O.D.
NPI 1104840578
Optometrist - Corneal and Contact Management in Winston Salem, NC

Active since July 27, 2006PECOS Enrolled
235 HARVEY ST, WINSTON SALEM, NC 27103(336) 842-0952(336) 793-3475 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa N Davis O.d. NPPES

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

LISA N DAVIS O.D. (NPI 1104840578) is an individual corneal and contact management provider in Winston Salem, North Carolina, licensed in North Carolina (1285) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1104840578
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameLISA N DAVISCredential: O.D.
Location Address235 HARVEY STWinston Salem, NC 27103-1741
Mailing Address3316 Silas Creek PkwyWinston Salem, NC 27103-3011 · (336) 765-5350 · Fax (336) 765-0769
Phone(336) 842-0952
Fax(336) 793-3475
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 4, 2019
✔ NPI 1104840578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in NC · 1285
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
235 HARVEY ST, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Location 1

Location 13316 Silas Creek PkwyWinston Salem, NC 27103-3011 · Phone (336) 765-5350 · Fax (336) 765-0769

Other Identifiers 1

Medicaid7909119NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa N Davis O.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of North Carolina, PLLC
Same address
Optometrist
235 HARVEY ST
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 259 clinicians in this Medicare group
NPI 1821553637 (336) 842-0952

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

ROGER GLEN DAVIS O.D.
Optometrist (Corneal and Contact Management)
235 HARVEY ST
WINSTON SALEM, NC 27103
Forsyth County (336) 842-0952
MATTHEW TUCKER OD
Student in an Organized Health Care Education/Training Program
235 HARVEY ST
WINSTON SALEM, NC 27103
Forsyth County (336) 842-0952
MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
Optometrist
235 HARVEY ST
WINSTON SALEM, NC 27103
Forsyth County (336) 842-0952

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 Lisa Davis's NPI number?

The NPI number for Lisa Davis is 1104840578. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Lisa Davis located?

Lisa Davis practices at 235 Harvey St, Winston Salem, NC 27103. The listed phone number is (336) 842-0952.

What is Lisa Davis's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Lisa Davis enrolled in Medicare?

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

Which organization bills Medicare for Lisa Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Davis reassigns Medicare benefits to Myeyedr Optometry Of North Carolina, PLLC (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Davis was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.