Active NPI
Jeanetta L. Davis, C.O.A.
- Ophthalmic Assistant
- Denver, CO
National Provider Identifier
1083623334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Assistant
- Practice address
- 2480 S Downing St
Ste G20
Denver, CO 80210-5890 - Phone
- (303) 777-7303
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | Primary |
Addresses
Primary practice location
2480 S Downing St
Ste G20
Denver, CO 80210-5890
Mailing address
2480 S Downing St
Ste G20
Denver, CO 80210-5890
Phone (303) 777-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083623334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 S DOWNING ST",
"address_2": "STE G20",
"city": "DENVER",
"state": "CO",
"postal_code": "802105890",
"telephone_number": "303-777-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S DOWNING ST",
"address_2": "STE G20",
"city": "DENVER",
"state": "CO",
"postal_code": "802105890",
"telephone_number": "303-777-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEANETTA",
"middle_name": "L.",
"credential": "C.O.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.