DR. JENNIFER DAVIDSON (OD) – Optometrist, NPI 1689110785
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JENNIFER DAVIDSON (OD)
485 OAKDALE RD NE APT C36
ATLANTA, GA 30307
Phone: (404) 375-9311
Type: Mailing
8325 SW 157TH ST
PALMETTO BAY, FL 331572165
Phone: (404) 375-9311
Type: Mailing
MARTIN LUTHER KING JR., CLINICA CAMPESINA
810 WEST MOWRY DR.
HOMESTEAD, FL 33030
Phone: (305) 254-4334
Fax: (305) 245-1161
Type: Location
485, Oakdale Road Northeast, Edgewood, Atlanta, DeKalb County, Georgia, 30307, United States
APT C36
ATLANTA, GA 30307
Phone: (404) 375-9311
Type: Location
7300 SW 57TH AVE
SOUTH MIAMI, FL 331435312
Phone: (305) 665-2353
Fax: (305) 665-2853
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $606.
Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($310).
Total Amount
$606
General + Research + Ownership
Payments
11
Total payment records
General Amount
$606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $310 |
| Alcon Vision LLC | $163 |
| CooperVision Inc. | $81 |
| Johnson & Johnson Vision Care, Inc. | $52 |
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: 2021-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211019000097 | I | Optometry | FL | TBD |
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.
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 30307)
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