Organization Active NPI

Dr. Anna L Davis & Associates, LLC

  • Optometrist
  • Boaz, AL
National Provider Identifier
1043585862
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC41TA858 Issued in AL
Legal business name
DR. ANNA L DAVIS & ASSOCIATES, LLC
Practice address
21 Brush Creek Dr
Boaz, AL 35957-5159
Phone
(205) 876-3455
NPI assigned
Mar 12, 2012
Last updated
Mar 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anna Lessley Davis, O.D.
Title
Owner
Phone
(205) 876-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC41TA858 AL Primary

Addresses

Primary practice location

21 Brush Creek Dr
Boaz, AL 35957-5159

Mailing address

21 Brush Creek Dr
Boaz, AL 35957-5159

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1043585862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRUSH CREEK DR",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRUSH CREEK DR",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575159",
            "telephone_number": "205-876-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANNA L DAVIS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LESSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-876-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC41TA858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.