Dr James E Davis Jr

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007432 Issued in IL

Legal business name

DR JAMES E DAVIS JR

Practice address

3411 N Woodford St
Decatur, IL 62526-2861

Phone

(217) 877-0312

Fax

(217) 877-0397

NPI assigned

Mar 7, 2017

Last updated

Mar 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Davis, O.D.NPI 1366492357

Title

Owner

Phone

(217) 877-0312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James E Davis Jr., O.D.

  • Optometrist
  • Decatur, IL
  • NPI 1366492357
  Authorized official Same address or phone

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1083154264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262861",
            "telephone_number": "217-877-0312",
            "fax_number": "217-877-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262861",
            "telephone_number": "217-877-0312",
            "fax_number": "217-877-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES E DAVIS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-877-0312",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Donaldson
• Carla Maria Donnelly, LPC
• Aurelia Dothager, LCSW
• Jerry Lynn Douglas, LCSW
• Mohammad Douleh, DMD
• Tessa Drake
• Stephan R Draughan, PHARMD
• Joe Drew, LPC
• Julie Lynn Drew, M.A. CCC-SLP
• DRS Graham & Graham LTD

• Optometrist in Decatur, IL
• Providers in Decatur, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.