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Deactivated NPI 1942365911 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Donald Davis , OD

Optometrist • Old Hickory, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 27, 2006
NPI Deactivation Date January 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Davis, OD was a registered Optometrist practicing in Old Hickory, TN. Throughout an active medical career spanning 16 years, Dr. Davis provided care at the practice location at 4961 LEBANON RD until profile deactivation on 2022-01-30.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4961 Lebanon Rd

Old Hickory, TN 371384127

Telephone 6158837006
Fax 6158831216

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Old Hickory, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Old Hickory, TN (1373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
98 90 $115.00 $115.00
92004 New patient complete exam of visual system
40 40 $125.00 $125.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 18 $153.10 $121.96

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN TN1177

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active August 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 23, 2012

Registered at 4961 LEBANON RD, OLD HICKORY, TN 371384127 (Tel: 6158837006)

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Updated Business Mailing Address August 23, 2012

Registered at 4961 LEBANON RD, OLD HICKORY, TN 371384127 (Tel: 6158837006)

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Provider Name / Credentials Updated August 23, 2012

Recorded as FRED DAVIS, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2012

Optometrist (License #TN1177 in TN)

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Initial NPI Registration & Enumeration December 27, 2006

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: 1942365911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: August 23, 2012
Deactivation Date: January 30, 2022

Mailing Address

4961 Lebanon Rd

Old Hickory, TN 371384127

Phone: 6158837006

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

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