SAMANTHA DAVIDSON OD
NPI 1801638754
Optometrist in Cudahy, WI

Q: What is Samantha Davidson's NPI number?

The NPI number for Samantha Davidson is 1801638754. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Samantha Davidson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Davidson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 11, 2024PECOS EnrolledAccepts Medicare Assignment

5102 S PACKARD AVE, CUDAHY, WI 53110(414) 769-6120 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Davidson Od NPPES

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

SAMANTHA DAVIDSON OD (NPI 1801638754) is an individual optometrist in Cudahy, Wisconsin, licensed in Wisconsin (4017-35) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2024).

NPPES Registry Identity

NPI1801638754

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSAMANTHA DAVIDSONCredential: OD

Location Address5102 S PACKARD AVECudahy, WI 53110-1922

Mailing Address5102 S Packard AveCudahy, WI 53110-1922 · (414) 769-6120

Phone(414) 769-6120

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2024

Enumeration DateJune 11, 2024

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1801638754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WI · 4017-35✔ Licensed in IL · 046011963

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5102 S PACKARD AVE, Cudahy, WI 53110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Samantha 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 ID446797633

PECOS Enrollment IDI20240806001817, I20250417003403

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 53110 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 4

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

RICHARD WAY MILLER O.D.

Optometrist

5102 S PACKARD AVE
CUDAHY, WI 53110

Milwaukee County (414) 769-6120

MILLER OPTOMETRY, INC.

Optometrist

5102 S PACKARD AVE
CUDAHY, WI 53110

Milwaukee County (414) 769-6120

MYEYEDR OPTOMETRY OF WISCONSIN, LLC

Optometrist

5102 S PACKARD AVE
CUDAHY, WI 53110

Milwaukee County (414) 769-6120

DR. CARA YSTAD O.D.

Optometrist

5102 S PACKARD AVE
CUDAHY, WI 53110

Milwaukee County (414) 769-6120

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 Samantha Davidson's NPI number?

The NPI number for Samantha Davidson is 1801638754. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Samantha Davidson located?

Samantha Davidson practices at 5102 S Packard Ave, Cudahy, WI 53110. The listed phone number is (414) 769-6120.

What is Samantha Davidson's specialty?

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

Is Samantha Davidson enrolled in Medicare?

Yes. Samantha 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 Samantha Davidson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 8 other insurers list Samantha 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 Samantha Davidson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.