DR. MICHAEL DAVIS O.D. NPI 1689670861

Optometrist in Gallup, NM

NPI 1689670861 Individual Male Optometrist PECOS Enrolled

About MICHAEL DAVIS

Michael Davis is a provider established in Gallup, New Mexico and his medical specialization is optometrist. The NPI number of Michael Davis is 1689670861 and was assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number 516 (NM). The provider is registered as an individual and his NPI record was last updated 10 years ago.

Michael Davis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Michael Davis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1689670861

Provider NameDR. MICHAEL DAVIS O.D.
Provider Location Address516 NIZHONI BLVD DEPARTMENT 18 GALLUP, NM 87301
Provider Mailing AddressPO BOX 1337 GALLUP INDIAN MEDICAL CENTER DEPARTMENT 18 GALLUP, NM 87305
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-22-2005
Last Update Date10-27-2011


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.516
License StateNM
Taxonomy DescriptionDoctors 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.

Business Address

DR. MICHAEL DAVIS O.D.
516 NIZHONI BLVD
DEPARTMENT 18
GALLUP, NM
ZIP 87301
Phone: (505) 722-1331

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Mailing Address

DR. MICHAEL DAVIS O.D.
PO BOX 1337
GALLUP INDIAN MEDICAL CENTER DEPARTMENT 18
GALLUP, NM
ZIP 87305
Phone: (505) 722-1331
Fax: (505) 722-1747



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 218Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 103Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 59Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 56Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 39Photography of the retina (HCPCS:92250)
  • 32Diagnostic imaging of retina (HCPCS:92134)
  • 18Measurement of field of vision during daylight conditions (HCPCS:92083)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometrist2154CONo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8HZ342MEDICARE ID-TYPE UNSPECIFIED (04)
U85260MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396741617DR. PAUL DAVID OSTROVSKY M.D.
Individual
Radiology (Diagnostic Radiology)516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1162
1356348668DR. EDWARD N. YALE PHC
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1185
1679572226 VICKY S CHAVEZ PHARMD
Individual
Pharmacist (Pharmacotherapy)516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1185
1902805476 RAY HARRIS BRANSON PHARMD. RPH
Individual
Pharmacist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1185
1093701096 TROY ANTHONY BERNARDO PHARMD
Individual
Pharmacist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1185
1366432296DR. MARK DEANE HOPKINS MD
Individual
Specialist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1437140845MRS. CHITRA BHANDARI MD
Individual
Psychiatry & Neurology (Geriatric Psychiatry)516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1205803590DR. DAYNA MARIE DALAURO PHARMD
Individual
Pharmacist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1185
1699743328DR. CATHERINE MARIE RADOVICH M.D.
Individual
General Practice516 NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER
GALLUP, NM 87301
(505) 722-1000
1548238801 BRIAN DALE ELZA PT
Individual
Physical Therapist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1578531968 DAWN CAPRI DINEYAZHE PT
Individual
Physical Therapist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1396713699MR. DOMINICK CHARLES ARETINO OTR
Individual
Occupational Therapy Assistant516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1336118371MR. JAMES MURRAY HICKMAN PA-C
Individual
Physician Assistant516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1253
1598734543MRS. ASHLEY DAWN WATCHMAN PTA
Individual
Physical Therapy Assistant516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1528036639MRS. BARBARA ANN WHISTON PT
Individual
Physical Therapist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1760450878MRS. JENNIFER CHRISTINA BEBO PT
Individual
Physical Therapist516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1558330126DR. JANET NEAVE ARROWSMITH MD
Individual
Family Medicine516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1255
1124087770 JANET M LI-TEMPEST M.D.
Individual
Pediatrics516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1972562478 GILLIAN ELECTA MAIR MD
Individual
Pediatrics516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000
1750340238 SHERRI L ZUDELL CFNP
Individual
Nurse Practitioner (Family)516 NIZHONI BLVD
GALLUP, NM 87301
(505) 722-1000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.