Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jordan Davidson, OD

Individual provider Optometrist · NPI 1245839000

Charles Jordan Davidson, OD is an Optometry in Hazard, Kentucky. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1824 N Main St
Hazard, KY 41701-1020
Phone: (606) 217-0920
Fax: (606) 217-0922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Wellington Way Ste 160, Lexington, KY 40503-1387 — (859) 245-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2203DT (KY)

Record details

NPI number1245839000
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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