DR. MARK LEROY DAVIS (OD) – Optometrist, NPI 1881666014

DR. MARK LEROY DAVIS (OD) is a healthcare provider. based in Des moines, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1888 (IA). The NPI Number for DR. MARK LEROY DAVIS (OD) is 1881666014

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LEROY DAVIS (OD)
NPI
1881666014
Phone
(515) 630-2875
Address
3333 DUBUQUE AVE
Enumeration Date
2 February 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5152447740
Graduation Year
1989 (37 years ago)
PAC ID
0446250658
Group Practice PAC ID
9830218122
Professional Enrollment ID
I20210618001311
Address ID
IA503125233DE2405XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for DR. MARK LEROY DAVIS (OD)

  • 3333 DUBUQUE AVE

    DES MOINES, IA 503172767

    Phone: (515) 630-2875

    Fax: (515) 630-2876

    Type: Mailing

  • 603, East Main Street, Anamosa, Jones County, Iowa, 52205, United States

    PO BOX 398

    ANAMOSA, IA 522051845

    Phone: (319) 462-4891

    Fax: (319) 462-4892

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Alcon Vision LLC ($71).

Total Amount

$71

General + Research + Ownership

Payments

5

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$71
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: 2021-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210618001311IOptometryIATBD

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
92014Established patient complete exam of visual system2323$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 50317)

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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: 9830218122View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YCO
O P T O M E T R YIA

Reviews

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Frequently asked questions

Where can patients find DR. MARK LEROY DAVIS (OD)'s NPI?
You can confirm DR. MARK LEROY DAVIS (OD) with NPI 1881666014; it appears in the national provider directory.
Is DR. MARK LEROY DAVIS (OD) currently active in the NPI registry?
CMS-published data lists DR. MARK LEROY DAVIS (OD) as an active registrant.
What does DR. MARK LEROY DAVIS (OD) treat or focus on?
Patients typically see DR. MARK LEROY DAVIS (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. MARK LEROY DAVIS (OD)'s primary listing?
We display Des Moines, Iowa because that is what the record indicates for DR. MARK LEROY DAVIS (OD).
What if Des Moines, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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