Dr. Patrick Eugene Davidson, OD
Optometrist in Lynnwood, WA. Individual provider (NPI-1).
NPI number1720068604
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1720068604
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick Eugene Davidson
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2006
- Last updated
- Jan 14, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | WA3149 | WA | Yes |
Practice location
18411-A Alderwood Mall PkwyLynnwood, WA 98037
Phone 425-771-8472 · Fax 425-672-8943
Mailing address
18411-A Alderwood Mall PkwyLynnwood, WA 98037
Phone 425-771-8472 · Fax 425-672-8943
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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