| Lindsay T Davis Md Pllc | |
| 
					655 Saw Mill Rd Ste 5 West Haven CT 06516-3964  | |
| (203) 934-2222 | |
| Not Available | 
| Full Name | Lindsay T Davis Md Pllc | 
|---|---|
| Speciality | Ophthalmology | 
| Location | 655 Saw Mill Rd Ste 5, West Haven, Connecticut | 
| Authorized Official Name and Position | Lindsay Taylor Davis (PHYSICIAN OWNER) | 
| Authorized Official Contact | 5125549436 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lindsay T Davis Md Pllc 655 Saw Mill Rd Ste 5 West Haven CT 06516-3964 Ph: (203) 934-2222  | Lindsay T Davis Md Pllc 655 Saw Mill Rd Ste 5 West Haven CT 06516-3964 Ph: (203) 934-2222  | 
| NPI Number | 1073246823 | 
|---|---|
| Provider Enumeration Date | 07/07/2022 | 
| Last Update Date | 11/15/2022 | 
| Medicare PECOS PAC ID | 3072980705 | 
|---|---|
| Medicare Enrollment ID | O20221109000328 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073246823 | NPI | - | NPPES | 
| 1982920997 | Other | NPI 1 | |
| 1073246823 | Other | GROUP NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Lindsay Davis | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1982920997 PECOS PAC ID: 2567688914 Enrollment ID: I20210624003536  | 
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