Dr. Brent Ryan Davidson is a Fenton, Missouri based male Ophthalmologist with 23 years of experience in Ophthalmology. He completed his graduation from Saint Louis University School Of Medicine in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brent Ryan Davidson is 2005009915 for Ophthalmology in Missouri. Dr. Brent Ryan Davidson is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Brent Ryan Davidson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
23+ years
Medical School Attended:
Saint Louis University School Of Medicine
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1011 Bowles Ave, Suite 415, Fenton, Missouri, 63026-2395
Phone:
636-717-1700
Fax:
636-203-4727
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3870538911
Enrollment ID:
I20050621000026
NPI Number:
1437127065
NPI Enumeration Date:
09 Mar, 2006
NPI Last Update On:
23 Jan, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brent Ryan Davidson are as mentioned below.
License Number
Specialization
State
Status
2005009915
Ophthalmology
Missouri
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brent Ryan Davidson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Envision Eye Specialists Pc (0042375941)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brent Ryan Davidson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
10032015
Other
Illinois
BLUECROSS BLUESHIELD
P00339415
Other
Illinois
RAILROAD MEDICARE
714579
Other
HEALTHLINK
714579
Other
Illinois
HEALTHLINK
109208
Other
Missouri
HEALTH ALLIANCE
P00238356
Other
Missouri
RAILROAD MEDICARE
113109
Other
Illinois
HEALTH ALLIANCE
226523
Other
Missouri
GROUP HEALTH PLAN
207319807
Medicaid
Missouri
5617586
Other
Missouri
FIRST HEALTH
753168118
Other
UNITED HEALTHCARE
199422
Other
Missouri
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1011 Bowles Ave, Suite 200 Fenton, Missouri
Zip:
63026-2395
Phone Number:
636-717-1700
Fax Number:
636-203-4727
Patients can reach Dr. Brent Ryan Davidson at 1011 Bowles Ave, Suite 415, Fenton, Missouri or can call to book an appointment on 636-717-1700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.