| Thaddeus Davis, OD | |
|
610 E Baseline Rd Ste C3, Phoenix, AZ 85042-6536 | |
| (602) 269-9771 | |
| (602) 268-0899 |
| Full Name | Thaddeus Davis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 610 E Baseline Rd Ste C3, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568148039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD61467516 (Washington) | Secondary |
| 152W00000X | Optometrist | ODP-100630 (Idaho) | Secondary |
| 152W00000X | Optometrist | OPT-00779 (Arizona) | Primary |
| Provider Name | Moscow Family Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467885558 PECOS PAC ID: 8921235664 Enrollment ID: O20131230000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus Davis, OD 955 W Southern Ave Ste 101, Mesa, AZ 85210-4903 Ph: (480) 961-1865 | Thaddeus Davis, OD 610 E Baseline Rd Ste C3, Phoenix, AZ 85042-6536 Ph: (602) 269-9771 |
Moon Valley Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14435 N 7th St, Ste 104, Phoenix, AZ 85022 Phone: 602-993-2727 Fax: 602-449-0681 | |
Dr. Karly Baier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Clarendon Ave Ste 150, Phoenix, AZ 85013 Phone: 602-283-4503 Fax: 844-965-9564 | |
Dr. Aleta Belinda Gong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16020 N 35th Ave, Phoenix, AZ 85053 Phone: 602-547-3255 | |
Optical Expressions Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 112 W Mcdowell Rd, Phoenix, AZ 85003 Phone: 602-254-3169 Fax: 602-256-7112 | |
Suzanne Streff, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9617 N Metro Pkwy W, 1000, Phoenix, AZ 85051 Phone: 602-678-4395 Fax: 602-678-4396 | |
Dr. Lois Filipelli, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Abc Children's Eye Specialists, 1010 E Mcdowell Rd, Ste 301, Phoenix, AZ 85006 Phone: 602-222-2234 | |
Dr. Peter Rosenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 W Glendale Ave, Building B, Suite 11, Phoenix, AZ 85051 Phone: 602-973-5868 Fax: 602-973-6076 |