DR. SANDRA M DAVIDSON (O.D.) – Optometrist, NPI 1164427282

DR. SANDRA M DAVIDSON (O.D.) is a healthcare provider. based in Riverside, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 9191TPL (CA). The NPI Number for DR. SANDRA M DAVIDSON (O.D.) is 1164427282

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA M DAVIDSON (O.D.)
NPI
1164427282
Phone
(951) 784-2420
Address
4515 CENTRAL AVE
Enumeration Date
15 June 2005
Last Update Date
23 October 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9288555026
Graduation Year
1989 (37 years ago)
PAC ID
0749260297
Group Practice PAC ID
0749220051
Professional Enrollment ID
I20190418001371
Address ID
AZ864036141LA2277XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. SANDRA M DAVIDSON (O.D.)

  • 4515, Central Avenue, Magnolia Avenue, Riverside, Riverside County, California, 92506, United States

    STE 101

    RIVERSIDE, CA 925062374

    Phone: (951) 784-2420

    Fax: (951) 784-4713

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($125).

Total Amount

$313

General + Research + Ownership

Payments

7

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091216000312IOptometryCATBD
I20190418001371IOptometryAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina338323$0
92014Established patient complete exam of visual system247245$0
92134Imaging of retina149137$0
99214Established patient office or other outpatient visit, 30-39 minutes8557$0
92004New patient complete exam of visual system7979$0
View full utilization report →

Insurance plans in this area (ZIP 92506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749220051View full group profile
NameSpecialtyState
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
-AZ
O P T O M E T R YAZ
O P T O M E T R YAZ

Reviews

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Frequently asked questions

What identifier follows DR. SANDRA M DAVIDSON (O.D.) across health systems?
The NPI 1164427282 uniquely identifies DR. SANDRA M DAVIDSON (O.D.) in U.S. healthcare data.
Does the public listing show DR. SANDRA M DAVIDSON (O.D.) as active?
DR. SANDRA M DAVIDSON (O.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. SANDRA M DAVIDSON (O.D.) does?
Insurance directories may phrase it differently, but here DR. SANDRA M DAVIDSON (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SANDRA M DAVIDSON (O.D.) in Riverside, California?
For routing, start with Riverside, California for DR. SANDRA M DAVIDSON (O.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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