DAVISSON W LI OD
NPI 1457082356
Optometrist in Kearny, NJ
About Davisson W Li Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVISSON W LI OD (NPI 1457082356) is an individual optometrist in Kearny, New Jersey, licensed in New Jersey (27OA00712800) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davisson W Li Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Davisson Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
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 07032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Davisson Li's NPI number?
The NPI number for Davisson Li is 1457082356. It was assigned to this individual provider in the NPPES registry on June 21, 2022.
Where is Davisson Li located?
Davisson Li practices at 160 Passaic Ave Ste 1, Kearny, NJ 07032. The listed phone number is (201) 467-2004.
What is Davisson Li's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Davisson Li enrolled in Medicare?
Yes. Davisson Li is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Davisson Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davisson Li reassigns Medicare benefits to Ae Vision LLC (Edison, NJ). 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 Davisson Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Davisson Li accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Davisson Li 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 Davisson Li was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Davisson W Li, OD · NPI 1457082356
Optometrist provider in Kearny, New Jersey. Individual provider, active in the CMS NPPES registry since June 21, 2022.
## Identity
- **NPI:** 1457082356 (Entity type: Individual)
- **Enumerated:** June 21, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00712800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 PASSAIC AVE STE 1, Kearny, NJ 07032-1130
- **Phone:** (201) 467-2004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ae Vision LLC (NPI 1720921422, Edison, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457082356) · Data from the CMS NPPES public registry.