DR. VONTAVIA DAVIS (OD) – Optometrist, NPI 1164318812

DR. VONTAVIA DAVIS (OD) is a healthcare provider. based in Humble, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11468TG (TX). The NPI Number for DR. VONTAVIA DAVIS (OD) is 1164318812

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. VONTAVIA DAVIS (OD)
NPI
1164318812
Phone
Not provided
Address
10710 KENTINGTON OAK DR
Enumeration Date
17 June 2025
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
6608382940
Group Practice PAC ID
9234310301
Professional Enrollment ID
I20250723000781
Address ID
TX782292384SA9725XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for DR. VONTAVIA DAVIS (OD)

  • 10710 KENTINGTON OAK DR

    HUMBLE, TX 773962444

    Phone:

    Type: Mailing

  • 9725 DATAPOINT DR

    SAN ANTONIO, TX 782292384

    Phone: (210) 883-1190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-23

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
I20250723000781IOptometryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77396)

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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: 9234310301View full group profile
NameSpecialtyState
-TX
-TX
O P T O M E T R YTX
O P T O M E T R YPA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. VONTAVIA DAVIS (OD)?
Save NPI 1164318812 if you need a stable reference for DR. VONTAVIA DAVIS (OD).
Does this profile mean DR. VONTAVIA DAVIS (OD) is currently active?
Yes — DR. VONTAVIA DAVIS (OD) appears active in the national provider directory.
What kind of provider is DR. VONTAVIA DAVIS (OD)?
The page reflects Optometrist for DR. VONTAVIA DAVIS (OD). Clinical services aligned with this taxonomy classification.
What location shows for DR. VONTAVIA DAVIS (OD)?
We surface Humble, Texas for DR. VONTAVIA DAVIS (OD) based on available NPPES addresses.
Is DR. VONTAVIA DAVIS (OD) a real provider?
This page reflects official NPPES data for NPI 1164318812. Always confirm identity and privileges with the practice and licensing boards.

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