Active NPI
Jeffrey S Davis, BCO, BADO
- Ocularist
- Madison, WI
National Provider Identifier
1093141483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 258 Corporate Dr Ste 213
Madison, WI 53714-2407 - Phone
- (608) 630-9200
- Fax
- (844) 518-5724
- NPI assigned
- Sep 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ocularist | 156FX1700X | WI | Primary |
Addresses
Primary practice location
258 Corporate Dr Ste 213
Madison, WI 53714-2407
Mailing address
258 Corporate Dr Ste 213
Madison, WI 53714-2407
Phone (608) 630-9200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Oculars, LLC | Ocularist | Current | Accepting new patients |
Locations
258 Corporate Dr
Ste 213
Madison, WI 53714
Phone (608) 630-9200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ocularist
- Madison, WI
- NPI 1558884767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093141483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 CORPORATE DR STE 213",
"city": "MADISON",
"state": "WI",
"postal_code": "537142407",
"telephone_number": "608-630-9200",
"fax_number": "844-518-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 CORPORATE DR STE 213",
"city": "MADISON",
"state": "WI",
"postal_code": "537142407",
"telephone_number": "608-630-9200",
"fax_number": "844-518-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "BCO, BADO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.