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Active NPI 1568148039 Individual Practitioner Male Practitioner

Dr. Thaddeus Davis , OD

Optometrist • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thaddeus Davis, OD is a certified Optometrist practicing in Phoenix, AZ. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Davis delivers high-quality medical care to the local community at 610 E BASELINE RD STE C3.

Dr. Davis is affiliated with Nationwide Optometry P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

610 E Baseline Rd Ste C3

Phoenix, AZ 850426536

Telephone 6022699771
Fax 6022680899
Associated Practice Facility / Clinic
🏢 Nationwide Optometry P.c. Facility NPI 1780755074

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Phoenix, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -15.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
255 Specialists

Practicing in Phoenix, AZ (1373 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (3 Years) 3 Yrs
Phoenix Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
65 65 $252.00 $145.98
92014 Established patient complete exam of visual system
45 45 $209.00 $124.92
92134 Imaging of retina
26 26 $81.00 $39.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 20 $74.00 $55.65
99213 Established patient office or other outpatient visit, typically 15 minutes
19 19 $122.82 $89.85
92133 Imaging of optic nerve
17 17 $74.00 $36.15
92250 Photography of the retina
13 13 $130.00 $36.89

Medical Specialties & State Licenses

CMS Verified: 2024-05-24
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ OPT-00779

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA OD61467516

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License ID ODP-100630

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.

Hospital & Practice Group Affiliations

Nationwide Optometry P.c.

610 E Baseline Rd, Phoenix, AZ 850426536

Phone: 6022699771

Secondary Practice Locations

560 Se Bishop Blvd

Pullman, WA 991635505

Phone: 5093343300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922490382

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 24, 2024

Registered at 610 E BASELINE RD STE C3, PHOENIX, AZ 850426536 (Tel: 6022699771)

📍
Updated Business Mailing Address May 24, 2024

Registered at 955 W SOUTHERN AVE STE 101, MESA, AZ 852104903 (Tel: 4809611865)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2024

Optometrist (License #OD61467516 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2023

Optometrist (License #ODP-100630 in ID)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 560 SE BISHOP BLVD, PULLMAN, WA 991635505 (Tel: 5093343300)

📍
Updated Business Mailing Address June 27, 2023

Registered at 400 SW SHIRLEY ST, PULLMAN, WA 991632731 (Tel: 6412085643)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as THADDEUS DAVIS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568148039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: May 24, 2024
Sole Proprietor: Yes

Mailing Address

955 W Southern Ave Ste 101

Mesa, AZ 852104903

Phone: 4809611865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.