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 13 May, 2024.