Nicholas J Davis, OD | |
1008 Riverburch Pkwy, Dalton, GA 30721-8630 | |
(706) 278-0518 | |
(706) 275-9715 |
Full Name | Nicholas J Davis |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 1008 Riverburch Pkwy, Dalton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508898412 | NPI | - | NPPES |
384536109A | Medicaid | GA | |
OPT002251 | Other | GA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT002251 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bruce L Johnson Od, Inc | 1850318270 | 2 |
Provider Name | Bruce L Johnson Od, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902941008 PECOS PAC ID: 1850318270 Enrollment ID: O20051025000983 |
Mailing Address | Practice Location Address |
---|---|
Nicholas J Davis, OD 1008 Riverburch Pkwy, Dalton, GA 30721-8630 Ph: (706) 278-0518 | Nicholas J Davis, OD 1008 Riverburch Pkwy, Dalton, GA 30721-8630 Ph: (706) 278-0518 |
Karen Mireya Gonzalez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1008 Riverburch Pkwy, Dalton, GA 30721 Phone: 706-278-0518 Fax: 706-275-9715 | |
Dr. William C White, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Walmart Vision, Dalton, GA 30721 Phone: 706-272-7193 Fax: 706-272-7165 | |
Dr. Ann Elizabeth Hannah, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 401 N Thornton Ave, Dalton, GA 30720 Phone: 706-278-1388 Fax: 706-278-6480 | |
Malerbi Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1207 W Walnut Ave, Dalton, GA 30720 Phone: 706-226-2722 | |
Dr. Charles M Smith Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 W Crawford St, Dalton, GA 30720 Phone: 706-278-6113 Fax: 706-226-5741 | |
Dr. Suzanne Marie Johannes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1341 W Walnut Ave, Dalton, GA 30720 Phone: 706-275-9900 | |
Robert Patterson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1209 Cleveland Hwy, #289, Dalton, GA 30721 Phone: 252-985-1371 |