NPIMap

Organization Active NPI

Dr. Jeanmarie Davis, OD, PA

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1114258159
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3579 Issued in FL
Legal business name
DR. JEANMARIE DAVIS, OD, PA
Practice address
1558 W 68TH St
Hialeah, FL 33014-3810
Phone
(954) 336-1328
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Jeanmarie Davis, OD
Title
Owner
Phone
(954) 336-1328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3579 FL Primary

Addresses

Primary practice location

1558 W 68TH St
Hialeah, FL 33014-3810

Mailing address

4842 SW 155TH Ter
Miramar, FL 33027-5642
Phone (954) 336-1328

National Provider Directory

National Provider Directory

Locations

555 E 25th St
Ste 201
Hialeah, FL 33013
Phone (305) 691-9780

1558 W 68th St
Hialeah, FL 33014
Phone (305) 556-0272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1114258159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 SW 155TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275642",
            "telephone_number": "954-336-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143810",
            "telephone_number": "954-336-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEANMARIE DAVIS, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEANMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-336-1328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.