DR. DAVID SAMUEL DAVIS (O.D.) – Optometrist, NPI 1649276312

DR. DAVID SAMUEL DAVIS (O.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. NV245 (NV). The NPI Number for DR. DAVID SAMUEL DAVIS (O.D.) is 1649276312

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID SAMUEL DAVIS (O.D.)
NPI
1649276312
Phone
(702) 385-7331
Address
4840 E BONANZA RD
Enumeration Date
27 June 2005
Last Update Date
13 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023857331
Graduation Year
1988 (38 years ago)
PAC ID
6103805726
Group Practice PAC ID
6204815822
Professional Enrollment ID
I20120117000051
Address ID
NV891103453LA4840XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

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Provider Addresses for DR. DAVID SAMUEL DAVIS (O.D.)

  • 4840, East Bonanza Road, Las Vegas, Clark County, Nevada, 89110, United States

    UNIT 6

    LAS VEGAS, NV 891103453

    Phone: (702) 385-7331

    Fax: (702) 385-5431

    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 19 Open Payments records for all available years, with a total value of $1,270.

Total Amount is formed as General ($1,270) + Research ($0) + Ownership ($0) = $1,270.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: CooperVision Inc. ($446).

Total Amount

$1,270

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-01-17

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
I20120117000051IOptometryNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes14692$0
92014Established patient complete exam of visual system7471$0
92134Imaging of retina4939$0
92284Evaluation of eye adaptation to light and dark with interpretation and report4132$0
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 89110)

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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: 6204815822View full group profile
NameSpecialtyState
O P T O M E T R YNV

Reviews

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Frequently asked questions

How do I look up DR. DAVID SAMUEL DAVIS (O.D.) by NPI?
Use NPI 1649276312 when you need to reference DR. DAVID SAMUEL DAVIS (O.D.) in forms, claims, or directories.
Is DR. DAVID SAMUEL DAVIS (O.D.) active in the national directory?
DR. DAVID SAMUEL DAVIS (O.D.)'s public NPI profile is in an active state.
What does DR. DAVID SAMUEL DAVIS (O.D.) treat or focus on?
Patients typically see DR. DAVID SAMUEL DAVIS (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID SAMUEL DAVIS (O.D.)?
The page summarizes Las Vegas, Nevada for DR. DAVID SAMUEL DAVIS (O.D.); expand the address list for detail.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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