KEITH ALAN DAVIS MD
NPI 1639268089
Ophthalmology in Modesto, CA

Active since October 12, 2006
1011 SYLVAN AVE STE C, MODESTO, CA 95350(209) 550-4780 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 21, 2017 (3 updates tracked since 2017).

About Keith Alan Davis Md NPPES

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

KEITH ALAN DAVIS MD (NPI 1639268089) is an individual ophthalmology provider in Modesto, California, licensed in California (G74408) and active in the NPI registry since October 2006. He maintains a secondary practice location in Palm Springs.

NPPES Registry Identity

NPI1639268089
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEITH ALAN DAVISCredential: MD
Location Address1011 SYLVAN AVE STE CModesto, CA 95350-1693
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1639268089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G74408
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.
1011 SYLVAN AVE STE C, Modesto, CA 95350

Secondary Practice Location 1

Location 11180 N Indian Canyon, Suite 130Palm Springs, CA 92262 · Phone (760) 320-7051 · Fax (760) 406-9824

Other Providers at the Same Location NPPES 2

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

Optometrist
1011 SYLVAN AVE STE C
MODESTO, CA 95350
Ophthalmology
1011 SYLVAN AVE STE C
MODESTO, CA 95350

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 Keith Davis's NPI number?

The NPI number for Keith Davis is 1639268089. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Keith Davis located?

Keith Davis practices at 1011 Sylvan Ave Ste C, Modesto, CA 95350. The listed phone number is (209) 550-4780.

What is Keith Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith Davis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.