Active NPIIndividual provider

Davisson W Li, OD

Optometrist in Kearny, New Jersey

NPI Number1457082356
Practice location
160 Passaic Ave Ste 1, Kearny, NJ 07032-1130
Fax
—
Last updated
June 21, 2022

Davisson W Li is an Optometrist based in Kearny, NJ. Davisson W Li practices in Kearny, NJ and has the professional credentials of OD. The NPI Number for Davisson W Li is 1457082356 and holds a License No. 27OA00712800 (NJ). The current practice location address for Davisson W Li is 160 Passaic Ave Ste 1, Kearny, NJ 07032-1130 and can be reached out via phone at 201-467-2004.

Provider Profile Details

NPI Number
1457082356
Provider Name
Davisson W Li
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
160 Passaic Ave Ste 1, Kearny, NJ 07032-1130
Phone Number
201-467-2004
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2022
Last Update Date
June 21, 2022
Certification Date
June 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Passaic Ave Ste 1
Kearny, NJ 07032-1130
City
Kearny
Zip
07032-1130
Phone Number
201-467-2004
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
125 Passaic Ave Apt 125-103
Kearny, NJ 07032-1137
City
Kearny
State
NJ
Zip
07032-1137

License Information

License Number
27OA00712800
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Kearny, NJ

View all Optometrists in Kearny →

Frequently Asked Questions

What is the NPI number of Davisson W Li, OD?

The NPI number of Davisson W Li, OD is 1457082356. It was assigned on June 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Davisson W Li, OD?

Davisson W Li, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00712800.

Where does Davisson W Li, OD practice?

The practice location is 160 Passaic Ave Ste 1, Kearny, NJ 07032-1130. The office can be reached at 201-467-2004 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457082356 directly on the NPPES registry website.

Browse related providers