Harry Davis, O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5021 Issued in OH

Legal business name

HARRY DAVIS, O.D. INC

Practice address

1711 S Main St
Bellefontaine, OH 43311-1509

Phone

(937) 592-5005

Fax

(937) 592-5481

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Harry B. Davis, O.D.

Title

President

Phone

(937) 592-5005

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Professional Vision Services Doing business as

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1235305095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111509",
            "telephone_number": "937-592-5005",
            "fax_number": "937-592-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111509",
            "telephone_number": "937-592-5005",
            "fax_number": "937-592-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY DAVIS, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-592-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278253",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "300724335004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7986032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Vision Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tami Renee Hardin
• Cathy Lorraine Harless, LPN
• Joshua Matthew Harmison
• Kassidy Harr, M.S.,CF-SLP
• Marie Danielle Harr, PT, DPT
• Jacob Harshfield, DC
• Megan Amanda Hawk, CDCA, LMT, CPHT
• Margaret A Headings, P.T., D.P.T.
• Heartland of Bellefontaine Oh LLC
• Chelsea Marie Heath

• Optometrist in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.