Doctor profile · Federal record
Dr. Thaddeus Davis, OD
Optometrist · Optometrist · Optometrist · Phoenix, AZ
- NPI 1568148039
- 3 yrs on file
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
610 E Baseline RD Ste C3
Phoenix, AZ 850426536
(602) 269-9771
fax (602) 268-0899 - Additional location
-
560 Se Bishop Blvd
Pullman, WA 991635505
(509) 334-3300 - Mailing address
-
955 W Southern Ave Ste 101
Mesa, AZ 852104903
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Profile last updated
- May 24, 2024
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (3)
- Arizona #OPT-00779 · Washington #OD61467516 · Idaho #ODP-100630
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568148039. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
32
Distinct HCPCS
2
Medicare allowed
$4,202
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92004 |
New patient complete exam of visual system | 19 | 19 | $141 | |
92014 |
Established patient complete exam of visual system | 13 | 13 | $118 |
In context: peer comparison
Among 48 peers in this city , average services per provider: 104. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$132
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision Inc. | 2 | $132.43 |
By nature of payment
Frequently asked questions
What is Dr. Thaddeus Davis's medical specialty?
Dr. Thaddeus Davis practices Optometrist in Phoenix, AZ.
Where does Dr. Thaddeus Davis practice?
Dr. Thaddeus Davis practices at 610 E Baseline RD Ste C3, Phoenix, AZ 850426536. Office phone: 6022699771.
What is Dr. Thaddeus Davis's NPI?
Dr. Thaddeus Davis's National Provider Identifier (NPI) is 1568148039, issued by NPPES.
What procedures does Dr. Thaddeus Davis commonly perform?
Top Medicare-reported procedures in 2023: New patient complete exam of visual system (HCPCS 92004); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.