Healthcare Provider Details

I. General information

NPI: 1831016880
Provider Name (Legal Business Name): ANDREW DAVIS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 212TH ST SW STE 200
EDMONDS WA
98026-7610
US

IV. Provider business mailing address

7315 212TH ST SW STE 200
EDMONDS WA
98026-7610
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-7912
  • Fax:
Mailing address:
  • Phone: 425-454-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW P DAVIS
Title or Position: OWNER
Credential: M.D.
Phone: 425-442-2237