P Praxis·MD
● Active Type 1 · Individual

MR. Douglas Joel Davidson

Technician/Technologist·Moscow, ID· NPI 1770672842 · Enumerated 2006 · 19 years on NPI
Davidson is 1 of 2 technician/technologist providers in Moscow and 1 of 21 in Idaho.
NPI age
19 years
Enumerated 2006-10-12
Primary specialty
Technician/Technologist
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-11-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 21 active technician/technologist providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
512 S Main St
Moscow, ID 838432918
📞 2088833000
Mailing address
512 S Main St
Moscow, ID 838432918
📞 2088833000

Specialties

  • Technician/Technologist Primary
    Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
    WA license #DO00000689 taxonomy 156FX1800X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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