CHARLES JORDAN DAVIDSON OD
NPI 1245839000
Optometrist in Hazard, KY

Active since October 22, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1824 N MAIN ST, HAZARD, KY 41701(606) 217-0920(606) 217-0922 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Oct 22, 2020 (2 updates tracked since 2020).

About Charles Jordan Davidson Od NPPES

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

CHARLES JORDAN DAVIDSON OD (NPI 1245839000) is an individual optometrist in Hazard, Kentucky, licensed in Kentucky (2203DT) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245839000
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES JORDAN DAVIDSONCredential: OD
Location Address1824 N MAIN STHazard, KY 41701-1020
Mailing Address167 Woodland AveHazard, KY 41701-2060 · (606) 217-0920 · Fax (859) 275-2130
Fax(606) 217-0922
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 22, 2020
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1245839000 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 KY · 2203DT
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.

1824 N MAIN ST, Hazard, KY 41701

Secondary Practice Location 1

Location 1535 Wellington Way Ste 160Lexington, KY 40503-1387 · Phone (859) 245-2020 · Fax (859) 275-2130

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 and accepts Medicare assignment

Charles Jordan Davidson Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446668545
PECOS Enrollment IDI20210408001880
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 41701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Optometrist
1824 N MAIN ST
HAZARD, KY 41701

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 Charles Davidson's NPI number?

The NPI number for Charles Davidson is 1245839000. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Charles Davidson located?

Charles Davidson practices at 1824 N Main St, Hazard, KY 41701. The listed phone number is (606) 217-0920.

What is Charles Davidson's specialty?

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

Is Charles Davidson enrolled in Medicare?

Yes. Charles Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Davidson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 5 other insurers list Charles 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 Charles Davidson was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.