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DR. BERNETTA DAVIS OD, PLLC
NPI 1942570874
Optometrist in Baltimore, MD

Active since January 10, 2012
1804 W NORTH AVE, BALTIMORE, MD 21217(410) 523-1224 Get Directions Write a Review

NPPES record last updated: March 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bernetta Davis Od, Pllc NPPES

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

DR. BERNETTA DAVIS OD, PLLC (NPI 1942570874) is a healthcare organization registered as an optometrist in Baltimore, Maryland and active in the NPI registry since January 2012. The organization lists Bernetta Davis-poole, Resident Agent, as its authorized official.

NPPES Registry Identity

NPI1942570874
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. BERNETTA DAVIS OD, PLLC
Location Address1804 W NORTH AVEBaltimore, MD 21217-1621
Mailing Address1804 W North AveBaltimore, MD 21217-1621 · (410) 523-1224
Phone(410) 523-1224
Organization SubpartNo
Authorized OfficialBernetta Davis-pooleResident Agent · (410) 523-1224
Enumeration DateJanuary 10, 2012
Last NPPES UpdateMarch 31, 2013
✔ NPI 1942570874 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 MD · TA0696
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.
1804 W NORTH AVE, Baltimore, MD 21217
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Other Identifiers 1

Medicare PIN242481MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. SUSAN RENEE CLANZY M.D.
General Practice
1804 W NORTH AVE
BALTIMORE, MD 21217
Baltimore City (410) 685-6331
MEDSPA M.D. LLC
General Practice
1804 W NORTH AVE
BALTIMORE, MD 21217
Baltimore City (410) 685-6331

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 Dr. Bernetta Davis Od, PLLC's NPI number?

The NPI number for Dr. Bernetta Davis Od, PLLC is 1942570874. It was assigned to this organization in the NPPES registry on January 10, 2012.

Where is Dr. Bernetta Davis Od, PLLC located?

Dr. Bernetta Davis Od, PLLC is located at 1804 W North Ave, Baltimore, MD 21217. The listed phone number is (410) 523-1224.

What is Dr. Bernetta Davis Od, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dr. Bernetta Davis Od, PLLC was last updated on March 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.